- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.18 / $257.18 / $23,354.00
| Facility | | $257.18 | $257.18 | $23,354.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $287.58 / $287.58 / $287.58
| Facility | | $287.58 | $287.58 | $287.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.18 / $21,879.00 / $23,354.00
| Facility | | $257.18 | $21,879.00 | $23,354.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $287.58 / $287.58 / $287.58
| Facility | | $287.58 | $287.58 | $287.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228.57 / $246.00 / $246.00
| Facility | | $228.57 | $246.00 | $246.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.00 / $2,391.00 / $4,789.00
| Facility | | $912.00 | $2,391.00 | $4,789.00 |