- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $508.03 / $6,240.71 / $23,536.10
| Facility | | $508.03 | $6,240.71 | $23,536.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,000.00 / $43,000.00 / $43,000.00
| Facility | | $43,000.00 | $43,000.00 | $43,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $233.96 / $464.77 / $635.96
| Facility | | $233.96 | $464.77 | $635.96 |
- Facility/Professional
- Facility
- Modifier
- 80
- Low / Median / High Price
- $92.95 / $92.95 / $127.72
| Facility | 80 | $92.95 | $92.95 | $127.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.00 / $896.00 / $2,355.00
| Facility | | $361.00 | $896.00 | $2,355.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.72 / $726.30 / $7,561.00
| Facility | | $660.72 | $726.30 | $7,561.00 |