- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $535.07 / $2,028.16 / $18,711.00
| Facility | | $535.07 | $2,028.16 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,518.34 / $5,772.11 / $14,934.15
| Facility | | $3,518.34 | $5,772.11 | $14,934.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,364.71 / $1,364.71 / $2,273.59
| Facility | | $1,364.71 | $1,364.71 | $2,273.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.20 / $666.71 / $6,254.64
| Facility | | $361.20 | $666.71 | $6,254.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.81 / $558.78 / $589.60
| Facility | | $427.81 | $558.78 | $589.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $387.32 / $402.16 / $839.66
| Facility | | $387.32 | $402.16 | $839.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,408.99 / $5,768.81 / $11,041.39
| Facility | | $4,408.99 | $5,768.81 | $11,041.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |