- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $5,888.44 / $20,892.96
| Facility | | $1,023.29 | $5,888.44 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $870.96 / $4,466.84
| Facility | | $707.95 | $870.96 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $1,096.48 / $3,890.45
| Facility | | $562.34 | $1,096.48 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $1,000.00 / $1,071.52
| Facility | | $831.76 | $1,000.00 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $741.31 / $977.24
| Facility | | $707.95 | $741.31 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $9,120.11 / $17,378.01
| Facility | | $6,165.95 | $9,120.11 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $10,471.29 / $18,620.87
| Facility | | $1,995.26 | $10,471.29 | $18,620.87 |