- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,637.00 / $3,426.00 / $8,366.00
| Facility | | $1,637.00 | $3,426.00 | $8,366.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.41 / $371.29 / $1,621.66
| Facility | | $30.41 | $371.29 | $1,621.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,374.00 / $2,114.23 / $5,020.01
| Facility | | $1,374.00 | $2,114.23 | $5,020.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,034.00 / $10,000.00 / $10,000.00
| Facility | | $5,034.00 | $10,000.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $479.00 / $819.00 / $3,514.00
| Facility | | $479.00 | $819.00 | $3,514.00 |