- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,095.02 / $1,095.02 / $1,095.02
| Facility | | $1,095.02 | $1,095.02 | $1,095.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,496.15 / $10,351.23 / $21,331.89
| Facility | | $5,496.15 | $10,351.23 | $21,331.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,550.73 / $3,981.05 / $9,576.95
| Facility | | $2,550.73 | $3,981.05 | $9,576.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,210.44 / $3,632.97 / $7,540.91
| Facility | | $2,210.44 | $3,632.97 | $7,540.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,095.02 / $1,868.40 / $3,475.46
| Facility | | $1,095.02 | $1,868.40 | $3,475.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $796.00 / $3,500.00 / $8,152.00
| Facility | | $796.00 | $3,500.00 | $8,152.00 |