- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $788.37 / $3,589.00 / $8,240.00
| Facility | | $788.37 | $3,589.00 | $8,240.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $26,582.19
| Facility | | $8,639.91 | $11,851.00 | $26,582.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $975.22 / $975.22 / $975.22
| Facility | | $975.22 | $975.22 | $975.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,377.48 / $15,377.48 / $15,377.48
| Facility | | $15,377.48 | $15,377.48 | $15,377.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $976.00 / $4,597.00 / $8,427.00
| Facility | | $976.00 | $4,597.00 | $8,427.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $975.22 / $975.22 / $975.22
| Facility | | $975.22 | $975.22 | $975.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $552.63 / $587.53 / $735.37
| Facility | | $552.63 | $587.53 | $735.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $4,563.00 / $9,631.00
| Facility | | $2,468.00 | $4,563.00 | $9,631.00 |