- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,155.02 / $4,241.22 / $13,841.56
| Facility | | $1,155.02 | $4,241.22 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,153.73 / $15,116.17 / $28,376.91
| Facility | | $11,153.73 | $15,116.17 | $28,376.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.82 / $1,791.94 / $2,664.51
| Facility | | $313.82 | $1,791.94 | $2,664.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.77 / $2,349.57 / $3,754.71
| Facility | | $534.77 | $2,349.57 | $3,754.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |