- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $8,511.38 / $14,791.08
| Facility | | $912.01 | $8,511.38 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $912.01 / $3,981.07
| Facility | | $707.95 | $912.01 | $3,981.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $1,023.29 / $3,388.44
| Facility | | $549.54 | $1,023.29 | $3,388.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $912.01 / $977.24
| Facility | | $741.31 | $912.01 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $660.69 / $1,995.26
| Facility | | $660.69 | $660.69 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $7,943.28 / $15,135.61
| Facility | | $5,370.32 | $7,943.28 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $8,709.64 / $15,488.17
| Facility | | $1,548.82 | $8,709.64 | $15,488.17 |