- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,733.00 / $7,489.85 / $22,024.00
| Facility | | $1,733.00 | $7,489.85 | $22,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,720.29 / $20,273.81 / $38,781.51
| Facility | | $8,720.29 | $20,273.81 | $38,781.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $10,540.05
| Facility | | $714.97 | $870.49 | $10,540.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,113.51 / $2,264.90 / $9,243.26
| Facility | | $1,113.51 | $2,264.90 | $9,243.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,462.24 / $1,957.47 / $2,047.48
| Facility | | $1,462.24 | $1,957.47 | $2,047.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,363.98 / $1,385.62 / $8,720.29
| Facility | | $1,363.98 | $1,385.62 | $8,720.29 |
- 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 |