- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,039.65 / $6,470.00 / $21,917.86
| Facility | | $1,039.65 | $6,470.00 | $21,917.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,490.98 / $9,167.59 / $17,907.41
| Facility | | $5,490.98 | $9,167.59 | $17,907.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $3,740.43
| Facility | | $883.20 | $1,075.31 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.75 / $1,941.31 / $3,421.38
| Facility | | $1,023.75 | $1,941.31 | $3,421.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,225.49 / $1,584.14 / $2,023.30
| Facility | | $1,225.49 | $1,584.14 | $2,023.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $986.25 / $1,073.16 / $2,961.46
| Facility | | $986.25 | $1,073.16 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,013.44 / $9,167.59 / $17,546.59
| Facility | | $6,013.44 | $9,167.59 | $17,546.59 |
- 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 |