- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $457.09 / $457.09
| Facility | | $346.74 | $457.09 | $457.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $11,481.54 / $26,915.35
| Facility | | $2,137.96 | $11,481.54 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $1,778.28 / $4,168.69
| Facility | | $1,096.48 | $1,778.28 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $1,698.24 / $3,311.31
| Facility | | $1,348.96 | $1,698.24 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $630.96 / $1,380.38
| Facility | | $389.05 | $630.96 | $1,380.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,659.59 / $4,786.30 / $9,332.54
| Facility | | $1,659.59 | $4,786.30 | $9,332.54 |