- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $2,212.19 / $6,953.60
| Facility | | $1,615.00 | $2,212.19 | $6,953.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $518.28 / $35,600.00
| Facility | | $0.71 | $518.28 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,863.00 / $2,587.00 / $3,978.18
| Facility | | $1,863.00 | $2,587.00 | $3,978.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.00 / $1,172.00 / $4,945.00
| Facility | | $309.00 | $1,172.00 | $4,945.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $16,711.52 / $20,189.91
| Facility | | $55.00 | $16,711.52 | $20,189.91 |