- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,008.51 / $6,470.00 / $27,598.31
| Facility | | $2,008.51 | $6,470.00 | $27,598.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,722.80 / $16,547.20 / $26,542.00
| Facility | | $3,722.80 | $16,547.20 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,394.89 / $1,698.13 / $6,910.09
| Facility | | $1,394.89 | $1,698.13 | $6,910.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,595.25 / $3,053.24 / $6,320.69
| Facility | | $1,595.25 | $3,053.24 | $6,320.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,068.11 / $2,738.29 / $2,858.04
| Facility | | $2,068.11 | $2,738.29 | $2,858.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,912.57 / $1,994.21 / $3,953.90
| Facility | | $1,912.57 | $1,994.21 | $3,953.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,761.59 / $16,595.73 / $31,745.76
| Facility | | $10,761.59 | $16,595.73 | $31,745.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,400.00 / $3,509.00 / $16,315.00
| Facility | | $1,400.00 | $3,509.00 | $16,315.00 |