- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.94 / $566.62 / $54,967.00
| Facility | | $266.94 | $566.62 | $54,967.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.00 / $143.00 / $388.00
| Facility | | $108.00 | $143.00 | $388.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,877.75 / $25,867.00 / $33,043.00
| Facility | | $7,877.75 | $25,867.00 | $33,043.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,380.60 / $1,408.99
| Facility | | $55.00 | $1,380.60 | $1,408.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,128.00 / $2,297.00 / $4,326.00
| Facility | | $1,128.00 | $2,297.00 | $4,326.00 |