- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $4,168.69 / $10,964.78
| Facility | | $1,000.00 | $4,168.69 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,888.44 / $12,302.69
| Facility | | $3,388.44 | $5,888.44 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $2,398.83 / $10,964.78
| Facility | | $1,071.52 | $2,398.83 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $1,230.27 / $50,118.72
| Facility | | $1,230.27 | $1,230.27 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $933.25 / $2,818.38
| Facility | | $776.25 | $933.25 | $2,818.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $691.83 / $691.83 / $691.83
| Facility | | $691.83 | $691.83 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $50,118.72 / $75,857.76
| Facility | | $794.33 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $5,128.61 / $11,481.54
| Facility | | $2,344.23 | $5,128.61 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $891.25 / $3,715.35
| Facility | | $602.56 | $891.25 | $3,715.35 |