- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,166.29 / $5,909.48 / $15,263.85
| Facility | | $2,166.29 | $5,909.48 | $15,263.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,535.24 / $21,072.03 / $36,980.03
| Facility | | $14,535.24 | $21,072.03 | $36,980.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $633.22 / $1,076.47 / $1,586.09
| Facility | | $633.22 | $1,076.47 | $1,586.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,061.81 / $1,579.67 / $3,282.67
| Facility | | $1,061.81 | $1,579.67 | $3,282.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |