- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.30 / $110.74 / $2,278.14
| Facility | | $87.30 | $110.74 | $2,278.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,118.00 / $30,607.00 / $63,206.00
| Facility | | $5,118.00 | $30,607.00 | $63,206.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.11 / $48.36 / $61.08
| Facility | | $39.11 | $48.36 | $61.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,889.18 / $12,507.82 / $41,772.07
| Facility | | $1,889.18 | $12,507.82 | $41,772.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.00 / $224.00 / $6,392.00
| Facility | | $135.00 | $224.00 | $6,392.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,000.00 / $6,478.00
| Facility | | $1,000.00 | $3,000.00 | $6,478.00 |