- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,080.23 / $1,610.38 / $1,727.28
| Facility | | $1,080.23 | $1,610.38 | $1,727.28 |
- 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
- $1,024.74 / $1,290.99 / $1,997.85
| Facility | | $1,024.74 | $1,290.99 | $1,997.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $301.00 / $661.00 / $4,877.00
| Facility | | $301.00 | $661.00 | $4,877.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $7,194.67 / $8,733.76
| Facility | | $55.00 | $7,194.67 | $8,733.76 |