- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $415.36 / $1,146.59 / $18,711.00
| Facility | | $415.36 | $1,146.59 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,577.40 / $8,052.47 / $17,808.41
| Facility | | $1,577.40 | $8,052.47 | $17,808.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $2,846.84
| Facility | | $714.97 | $870.49 | $2,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.08 / $553.72 / $2,136.38
| Facility | | $266.08 | $553.72 | $2,136.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $422.10 / $786.44 / $873.68
| Facility | | $422.10 | $786.44 | $873.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $579.84 / $595.92 / $2,218.36
| Facility | | $579.84 | $595.92 | $2,218.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,899.91 / $8,047.87 / $15,403.47
| Facility | | $4,899.91 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.00 / $2,539.53 / $10,522.00
| Facility | | $1,547.00 | $2,539.53 | $10,522.00 |