- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.00 / $5,463.36 / $13,841.56
| Facility | | $1,653.00 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,064.08 / $4,152.62 / $7,795.52
| Facility | | $3,064.08 | $4,152.62 | $7,795.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.72 / $359.36 / $3,187.85
| Facility | | $148.72 | $359.36 | $3,187.85 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,068.56 / $3,068.56 / $3,068.56
| Facility | 50 | $3,068.56 | $3,068.56 | $3,068.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $279.02 / $346.75 / $480.78
| Facility | | $279.02 | $346.75 | $480.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,775.00 / $3,227.00 / $6,169.00
| Facility | | $1,775.00 | $3,227.00 | $6,169.00 |