- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.27 / $2,131.00 / $7,385.29
| Facility | | $528.27 | $2,131.00 | $7,385.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,967.73 / $3,563.15 / $7,196.63
| Facility | | $1,967.73 | $3,563.15 | $7,196.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $414.62 / $414.62 / $609.26
| Facility | | $414.62 | $414.62 | $609.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,322.00 / $1,818.57 / $2,361.01
| Facility | | $1,322.00 | $1,818.57 | $2,361.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,946.84 / $11,500.00 / $12,000.00
| Facility | | $2,946.84 | $11,500.00 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $356.92 / $543.78 / $930.98
| Facility | | $356.92 | $543.78 | $930.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.64 / $548.41 / $1,088.00
| Facility | | $358.64 | $548.41 | $1,088.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,190.00 / $3,239.00 / $7,600.00
| Facility | | $1,190.00 | $3,239.00 | $7,600.00 |