- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $3,548.13 / $12,022.64
| Facility | | $794.33 | $3,548.13 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $3,715.35 / $7,079.46
| Facility | | $1,995.26 | $3,715.35 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $2,089.30 / $2,089.30
| Facility | | $151.36 | $2,089.30 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $1,862.09 / $2,344.23
| Facility | | $269.15 | $1,862.09 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $45,708.82 / $45,708.82
| Facility | | $7,943.28 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $295.12 / $707.95
| Facility | | $162.18 | $295.12 | $707.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $281.84 / $501.19
| Facility | | $162.18 | $281.84 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $2,511.89 / $4,786.30
| Facility | | $676.08 | $2,511.89 | $4,786.30 |