- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,124.63 / $2,769.52 / $18,711.00
| Facility | | $1,124.63 | $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
- $605.95 / $1,260.44 / $3,280.24
| Facility | | $605.95 | $1,260.44 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $795.06 / $1,120.36 / $1,284.39
| Facility | | $795.06 | $1,120.36 | $1,284.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $860.25 / $876.07 / $2,961.46
| Facility | | $860.25 | $876.07 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.17 / $9,167.59 / $17,546.59
| Facility | | $5,948.17 | $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 |