- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,505.00 / $26,238.10 / $44,477.90
| Facility | | $4,505.00 | $26,238.10 | $44,477.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,499.00 / $3,596.00 / $25,493.00
| Facility | | $1,499.00 | $3,596.00 | $25,493.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,812.00 / $11,255.57 / $28,122.82
| Facility | | $5,812.00 | $11,255.57 | $28,122.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $13,589.40 / $18,119.20
| Facility | | $2,200.00 | $13,589.40 | $18,119.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,691.00 / $14,563.17 / $23,247.20
| Facility | | $1,691.00 | $14,563.17 | $23,247.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $2,955.34 / $3,794.00
| Facility | | $1,500.00 | $2,955.34 | $3,794.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,826.64 / $23,468.97 / $32,910.90
| Facility | | $8,826.64 | $23,468.97 | $32,910.90 |