- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,014.82 / $2,148.17 / $22,024.00
| Facility | | $1,014.82 | $2,148.17 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,709.40 / $19,823.93 / $38,781.51
| Facility | | $2,709.40 | $19,823.93 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $8,315.84
| Facility | | $883.20 | $1,075.31 | $8,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $705.00 / $1,305.83 / $6,240.53
| Facility | | $705.00 | $1,305.83 | $6,240.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $906.51 / $1,497.33 / $1,553.73
| Facility | | $906.51 | $1,497.33 | $1,553.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,021.52 / $1,059.78 / $8,497.21
| Facility | | $1,021.52 | $1,059.78 | $8,497.21 |
- 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 / $6,096.98 / $19,271.00
| Facility | | $3,028.00 | $6,096.98 | $19,271.00 |