- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $222.32 / $471.91 / $54,967.00
| Facility | | $222.32 | $471.91 | $54,967.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.00 / $142.00 / $388.00
| Facility | | $108.00 | $142.00 | $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 / $922.72 / $1,173.82
| Facility | | $55.00 | $922.72 | $1,173.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,130.00 / $2,297.00 / $4,099.00
| Facility | | $1,130.00 | $2,297.00 | $4,099.00 |