- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,733.00 / $5,128.00 / $22,024.00
| Facility | | $1,733.00 | $5,128.00 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,603.61 / $52,812.50 / $101,024.36
| Facility | | $1,603.61 | $52,812.50 | $101,024.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $35,185.51
| Facility | | $714.97 | $870.49 | $35,185.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,177.10 / $2,453.96 / $27,914.97
| Facility | | $1,177.10 | $2,453.96 | $27,914.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,684.61 / $2,276.23 / $2,351.03
| Facility | | $1,684.61 | $2,276.23 | $2,351.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,585.50 / $1,603.61 / $24,524.93
| Facility | | $1,585.50 | $1,603.61 | $24,524.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,536.44 / $52,812.50 / $101,024.36
| Facility | | $38,536.44 | $52,812.50 | $101,024.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,129.00 / $11,941.00
| Facility | | $2,155.00 | $3,129.00 | $11,941.00 |