- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,685.89 / $3,313.45 / $18,711.00
| Facility | | $1,685.89 | $3,313.45 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,275.03 / $16,227.47 / $31,745.76
| Facility | | $6,275.03 | $16,227.47 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $6,910.09
| Facility | | $714.97 | $870.49 | $6,910.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,244.33 / $2,486.86 / $5,185.60
| Facility | | $1,244.33 | $2,486.86 | $5,185.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,780.36 / $2,494.41 / $2,613.00
| Facility | | $1,780.36 | $2,494.41 | $2,613.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,746.32 / $1,771.02 / $5,317.93
| Facility | | $1,746.32 | $1,771.02 | $5,317.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,761.59 / $16,586.25 / $31,745.76
| Facility | | $10,761.59 | $16,586.25 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $4,016.00 / $16,315.00
| Facility | | $2,912.00 | $4,016.00 | $16,315.00 |