- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,137.84 / $2,110.82 / $17,100.00
| Facility | | $1,137.84 | $2,110.82 | $17,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,129.64 / $18,873.74 / $38,781.51
| Facility | | $3,129.64 | $18,873.74 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $11,926.94
| Facility | | $625.25 | $761.81 | $11,926.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $801.64 / $1,451.00 / $8,035.82
| Facility | | $801.64 | $1,451.00 | $8,035.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,074.14 / $1,648.20 / $1,744.01
| Facility | | $1,074.14 | $1,648.20 | $1,744.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,156.06 / $1,189.57 / $8,653.58
| Facility | | $1,156.06 | $1,189.57 | $8,653.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,146.66 / $20,262.22 / $38,781.51
| Facility | | $13,146.66 | $20,262.22 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |