- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.41 / $4,261.00 / $15,353.72
| Facility | | $341.41 | $4,261.00 | $15,353.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,641.00 / $50,107.00 / $51,101.00
| Facility | | $1,641.00 | $50,107.00 | $51,101.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,736.00 / $22,968.00 / $34,239.00
| Facility | | $3,736.00 | $22,968.00 | $34,239.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.33 / $570.34 / $10,668.00
| Facility | | $309.33 | $570.34 | $10,668.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.00 / $8,807.00 / $25,522.00
| Facility | | $245.00 | $8,807.00 | $25,522.00 |