- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.00 / $302.05 / $34,070.00
| Facility | | $252.00 | $302.05 | $34,070.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,088.00 / $4,247.00 / $9,663.00
| Facility | | $2,088.00 | $4,247.00 | $9,663.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,365.00 / $25,365.00 / $25,365.00
| Facility | | $25,365.00 | $25,365.00 | $25,365.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.91 / $453.08 / $2,526.00
| Facility | | $224.91 | $453.08 | $2,526.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,216.00 / $2,332.00 / $3,071.00
| Facility | | $1,216.00 | $2,332.00 | $3,071.00 |