- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $8,128.31 / $20,892.96
| Facility | | $1,348.96 | $8,128.31 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $2,290.87 / $3,981.07
| Facility | | $1,862.09 | $2,290.87 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $1,513.56 / $4,168.69
| Facility | | $812.83 | $1,513.56 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,380.38 / $1,445.44
| Facility | | $1,023.29 | $1,380.38 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,000.00 / $2,691.53
| Facility | | $977.24 | $1,000.00 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $9,772.37 / $18,620.87
| Facility | | $7,079.46 | $9,772.37 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $11,220.18 / $19,952.62
| Facility | | $2,137.96 | $11,220.18 | $19,952.62 |