- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,456.96 / $2,734.85 / $20,680.40
| Facility | | $1,456.96 | $2,734.85 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,476.57 / $9,925.76
| Facility | | $55.00 | $1,476.57 | $9,925.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $870.49 / $947.00
| Facility | | $500.00 | $870.49 | $947.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $999.13 / $2,065.10 / $2,681.12
| Facility | | $999.13 | $2,065.10 | $2,681.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,515.57 / $2,059.27 / $2,164.77
| Facility | | $1,515.57 | $2,059.27 | $2,164.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,457.75 / $1,457.75 / $1,476.57
| Facility | | $1,457.75 | $1,457.75 | $1,476.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $1,120.00 / $5,793.00
| Facility | | $650.00 | $1,120.00 | $5,793.00 |