- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $3,715.35 / $12,882.50
| Facility | | $812.83 | $3,715.35 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $28,840.32 / $57,543.99
| Facility | | $14,125.38 | $28,840.32 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $21,379.62 / $50,118.72
| Facility | | $5,011.87 | $21,379.62 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $16,982.44 / $16,982.44
| Facility | | $323.59 | $16,982.44 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $19,054.61 / $19,054.61
| Facility | | $19,054.61 | $19,054.61 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $75,857.76
| Facility | | $54.95 | $56.23 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $1,995.26 / $8,511.38
| Facility | | $416.87 | $1,995.26 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $478.63 / $870.96
| Facility | | $338.84 | $478.63 | $870.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $14,125.38 / $52,480.75
| Facility | | $4,570.88 | $14,125.38 | $52,480.75 |