- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $787.43 / $2,769.52 / $18,711.00
| Facility | | $787.43 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,961.46 / $9,172.83 / $17,546.59
| Facility | | $2,961.46 | $9,172.83 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $3,740.43
| Facility | | $466.83 | $568.48 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $438.04 / $899.49 / $3,280.24
| Facility | | $438.04 | $899.49 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591.91 / $809.36 / $860.28
| Facility | | $591.91 | $809.36 | $860.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $568.97 / $586.79 / $2,961.46
| Facility | | $568.97 | $586.79 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,646.13 / $9,167.59 / $17,546.59
| Facility | | $5,646.13 | $9,167.59 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $702.00 / $1,436.00 / $6,857.00
| Facility | | $702.00 | $1,436.00 | $6,857.00 |