- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $565.14 / $2,769.52 / $18,711.00
| Facility | | $565.14 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $38,236.33 / $77,786.45
| Facility | | $11,500.00 | $38,236.33 | $77,786.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $568.48 / $23,503.87
| Facility | | $466.83 | $568.48 | $23,503.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.27 / $654.09 / $20,612.12
| Facility | | $309.27 | $654.09 | $20,612.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.71 / $616.02 / $656.60
| Facility | | $446.71 | $616.02 | $656.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $430.80 / $433.24 / $22,278.66
| Facility | | $430.80 | $433.24 | $22,278.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,032.50 / $38,581.23 / $74,682.17
| Facility | | $25,032.50 | $38,581.23 | $74,682.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,700.00 / $7,614.00 / $24,236.00
| Facility | | $3,700.00 | $7,614.00 | $24,236.00 |