- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $2,238.72 / $3,801.89
| Facility | | $446.68 | $2,238.72 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $3,090.30 / $19,498.45
| Facility | | $323.59 | $3,090.30 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $154.88 / $354.81
| Facility | | $154.88 | $154.88 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $1,513.56 / $1,995.26
| Facility | | $446.68 | $1,513.56 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.03 / $380.19 / $7,079.46
| Facility | | $123.03 | $380.19 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,801.89 / $9,772.37
| Facility | | $524.81 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $3,090.30 / $19,498.45
| Facility | | $323.59 | $3,090.30 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,801.89 / $8,709.64
| Facility | | $1,071.52 | $3,801.89 | $8,709.64 |