- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,015.83 / $5,931.00 / $10,817.52
| Facility | | $1,015.83 | $5,931.00 | $10,817.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,003.00 / $5,042.00 / $19,117.00
| Facility | | $2,003.00 | $5,042.00 | $19,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.33 / $696.40 / $861.93
| Facility | | $580.33 | $696.40 | $861.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,535.82 / $4,535.82 / $4,616.64
| Facility | | $4,535.82 | $4,535.82 | $4,616.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,840.00 / $5,998.00 / $7,847.00
| Facility | | $2,840.00 | $5,998.00 | $7,847.00 |