- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $5,370.32 / $23,442.29
| Facility | | $2,691.53 | $5,370.32 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $7,413.10 / $38,018.94
| Facility | | $2,187.76 | $7,413.10 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $27,542.29 / $37,153.52
| Facility | | $23,988.33 | $27,542.29 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $11,220.18 / $21,877.62
| Facility | | $7,762.47 | $11,220.18 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $1,737.80 / $7,079.46
| Facility | | $812.83 | $1,737.80 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $7,762.47 / $17,782.79
| Facility | | $2,754.23 | $7,762.47 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $3,630.78 / $3,981.07
| Facility | | $3,090.30 | $3,630.78 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $7,413.10 / $38,018.94
| Facility | | $2,187.76 | $7,413.10 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.23 / $7,943.28 / $35,481.34
| Facility | | $2,754.23 | $7,943.28 | $35,481.34 |