- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,782.00 / $11,139.00 / $15,941.80
| Facility | | $1,782.00 | $11,139.00 | $15,941.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,691.00 / $13,502.00 / $19,726.00
| Facility | | $8,691.00 | $13,502.00 | $19,726.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,862.16 / $11,755.18 / $27,456.59
| Facility | | $3,862.16 | $11,755.18 | $27,456.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,301.00 / $15,090.00 / $24,008.08
| Facility | | $9,301.00 | $15,090.00 | $24,008.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,736.00 / $7,957.00 / $10,400.00
| Facility | | $5,736.00 | $7,957.00 | $10,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.60 / $12,271.47 / $15,654.51
| Facility | | $173.60 | $12,271.47 | $15,654.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,522.57 / $12,979.25 / $17,736.84
| Facility | | $11,522.57 | $12,979.25 | $17,736.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,301.00 / $14,841.40 / $23,710.20
| Facility | | $9,301.00 | $14,841.40 | $23,710.20 |