- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $769.69 / $3,174.00 / $11,086.00
| Facility | | $769.69 | $3,174.00 | $11,086.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,977.43 / $7,275.80 / $14,648.60
| Facility | | $3,977.43 | $7,275.80 | $14,648.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.08 / $545.08 / $553.25
| Facility | | $545.08 | $545.08 | $553.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,024.00 / $3,741.00 / $4,187.68
| Facility | | $2,024.00 | $3,741.00 | $4,187.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $16,547.20 / $26,542.00
| Facility | | $11,500.00 | $16,547.20 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.34 / $766.84 / $1,318.27
| Facility | | $606.34 | $766.84 | $1,318.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $608.57 / $773.84 / $1,400.65
| Facility | | $608.57 | $773.84 | $1,400.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,182.00 / $6,414.00 / $13,237.00
| Facility | | $2,182.00 | $6,414.00 | $13,237.00 |