- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,249.25 / $6,187.17 / $14,662.32
| Facility | | $1,249.25 | $6,187.17 | $14,662.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,943.23 / $6,126.29 / $10,500.74
| Facility | | $2,943.23 | $6,126.29 | $10,500.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $548.67 / $1,130.00 / $2,581.96
| Facility | | $548.67 | $1,130.00 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $476.00 / $648.29 / $1,031.00
| Facility | | $476.00 | $648.29 | $1,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $10,257.00 / $16,249.00
| Facility | | $1,550.00 | $10,257.00 | $16,249.00 |