- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $865.02 / $7,489.85 / $18,800.00
| Facility | | $865.02 | $7,489.85 | $18,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,968.10 / $9,879.37 / $25,560.89
| Facility | | $5,968.10 | $9,879.37 | $25,560.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,353.44 / $2,353.44 / $3,920.80
| Facility | | $2,353.44 | $2,353.44 | $3,920.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.09 / $1,095.31 / $6,254.64
| Facility | | $586.09 | $1,095.31 | $6,254.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $708.41 / $923.26 / $953.58
| Facility | | $708.41 | $923.26 | $953.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $631.03 / $650.30 / $1,470.05
| Facility | | $631.03 | $650.30 | $1,470.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,079.47 / $9,873.73 / $18,898.13
| Facility | | $6,079.47 | $9,873.73 | $18,898.13 |
- 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 |