- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,014.12 / $6,707.00 / $39,653.94
| Facility | | $1,014.12 | $6,707.00 | $39,653.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,208.00 / $47,451.83 / $84,404.11
| Facility | | $26,208.00 | $47,451.83 | $84,404.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,250.53 / $3,191.53 / $7,677.66
| Facility | | $2,250.53 | $3,191.53 | $7,677.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,829.52 / $2,917.82 / $6,045.40
| Facility | | $1,829.52 | $2,917.82 | $6,045.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,603.69 / $13,052.00 / $57,824.12
| Facility | | $1,603.69 | $13,052.00 | $57,824.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,276.00 / $12,506.00 / $25,695.00
| Facility | | $6,276.00 | $12,506.00 | $25,695.00 |