- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,131.47 / $7,920.26 / $20,680.40
| Facility | | $1,131.47 | $7,920.26 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,765.02 / $9,172.83 / $20,286.13
| Facility | | $3,765.02 | $9,172.83 | $20,286.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $883.20 / $1,075.31 / $3,740.43
| Facility | | $883.20 | $1,075.31 | $3,740.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $661.19 / $1,326.26 / $3,280.24
| Facility | | $661.19 | $1,326.26 | $3,280.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.73 / $1,168.48 / $1,258.93
| Facility | | $870.73 | $1,168.48 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $809.06 / $858.70 / $2,961.46
| Facility | | $809.06 | $858.70 | $2,961.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,693.27 / $9,167.59 / $17,546.59
| Facility | | $6,693.27 | $9,167.59 | $17,546.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,129.00 / $11,941.00
| Facility | | $2,155.00 | $3,129.00 | $11,941.00 |