- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,375.15 / $9,673.00 / $49,721.89
| Facility | | $1,375.15 | $9,673.00 | $49,721.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,713.85 / $36,469.56 / $71,345.31
| Facility | | $6,713.85 | $36,469.56 | $71,345.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $19,914.00
| Facility | | $883.20 | $1,075.31 | $19,914.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $784.42 / $1,597.87 / $15,799.07
| Facility | | $784.42 | $1,597.87 | $15,799.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,036.34 / $1,413.70 / $1,509.51
| Facility | | $1,036.34 | $1,413.70 | $1,509.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $998.41 / $1,029.61 / $17,043.99
| Facility | | $998.41 | $1,029.61 | $17,043.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,749.60 / $37,275.87 / $71,345.31
| Facility | | $24,749.60 | $37,275.87 | $71,345.31 |
- 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 |