- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $418.60 / $2,796.18 / $4,399.93
| Facility | | $418.60 | $2,796.18 | $4,399.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,834.88 / $2,018.36 / $3,425.10
| Facility | | $1,834.88 | $2,018.36 | $3,425.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $505.65 / $35,600.00
| Facility | | $0.71 | $505.65 | $35,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.41 / $888.91 / $1,232.99
| Facility | | $190.41 | $888.91 | $1,232.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $393.00 / $650.00 / $4,824.00
| Facility | | $393.00 | $650.00 | $4,824.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,741.76 / $1,741.76
| Facility | | $55.00 | $1,741.76 | $1,741.76 |