- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,915.00 / $19,043.50 / $33,458.69
| Facility | | $2,915.00 | $19,043.50 | $33,458.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,078.00 / $10,120.61 / $22,405.07
| Facility | | $1,078.00 | $10,120.61 | $22,405.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $824.00 / $2,208.00 / $5,874.00
| Facility | | $824.00 | $2,208.00 | $5,874.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,617.00 / $12,266.20 / $34,764.82
| Facility | | $3,617.00 | $12,266.20 | $34,764.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,940.65 / $39,119.30 / $45,909.82
| Facility | | $26,940.65 | $39,119.30 | $45,909.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,560.45 / $3,436.09 / $7,875.54
| Facility | | $1,560.45 | $3,436.09 | $7,875.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,033.00 / $14,759.00 / $35,684.31
| Facility | | $4,033.00 | $14,759.00 | $35,684.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $3,732.00 / $18,478.27
| Facility | | $600.00 | $3,732.00 | $18,478.27 |