- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $2,398.83 / $7,244.36
| Facility | | $281.84 | $2,398.83 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $2,691.53 / $57,543.99
| Facility | | $2,630.27 | $2,691.53 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $758.58 / $1,412.54
| Facility | | $234.42 | $758.58 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $275.42 / $275.42
| Facility | | $275.42 | $275.42 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,995.26 / $3,890.45
| Facility | | $891.25 | $1,995.26 | $3,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $2,187.76 / $7,244.36
| Facility | | $380.19 | $2,187.76 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $416.87 / $891.25
| Facility | | $354.81 | $416.87 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $213.80 / $501.19
| Facility | | $131.83 | $213.80 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $1,778.28 / $3,890.45
| Facility | | $549.54 | $1,778.28 | $3,890.45 |