- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,193.24 / $1,193.24 / $10,562.00
| Facility | | $1,193.24 | $1,193.24 | $10,562.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,682.18 / $52,752.30 / $119,174.84
| Facility | | $5,682.18 | $52,752.30 | $119,174.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,960.56 / $4,198.43 / $10,099.91
| Facility | | $2,960.56 | $4,198.43 | $10,099.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,406.71 / $3,838.38 / $7,952.69
| Facility | | $2,406.71 | $3,838.38 | $7,952.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,640.79 / $2,432.90 / $26,931.00
| Facility | | $1,640.79 | $2,432.90 | $26,931.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,155.00 / $17,909.00 / $51,233.00
| Facility | | $14,155.00 | $17,909.00 | $51,233.00 |