- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.69 / $4,011.00 / $18,711.00
| Facility | | $545.69 | $4,011.00 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,433.20 / $17,574.13 / $36,111.08
| Facility | | $5,433.20 | $17,574.13 | $36,111.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.25 / $761.81 / $7,318.13
| Facility | | $625.25 | $761.81 | $7,318.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $328.12 / $650.50 / $6,417.76
| Facility | | $328.12 | $650.50 | $6,417.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $421.89 / $570.84 / $607.02
| Facility | | $421.89 | $570.84 | $607.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $397.28 / $414.04 / $5,433.20
| Facility | | $397.28 | $414.04 | $5,433.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,241.40 / $18,867.00 / $36,111.08
| Facility | | $12,241.40 | $18,867.00 | $36,111.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,028.00 / $5,547.00 / $19,271.00
| Facility | | $3,028.00 | $5,547.00 | $19,271.00 |