- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $510.19 / $1,092.66 / $4,083.31
| Facility | | $510.19 | $1,092.66 | $4,083.31 |
- 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
- $6,190.55 / $20,552.49 / $50,653.17
| Facility | | $6,190.55 | $20,552.49 | $50,653.17 |
- 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 |