- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.45 / $3,093.45 / $20,680.40
| Facility | | $1,653.45 | $3,093.45 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,664.39 / $11,208.88
| Facility | | $55.00 | $1,664.39 | $11,208.88 |
- 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
- $1,137.08 / $2,305.75 / $3,041.24
| Facility | | $1,137.08 | $2,305.75 | $3,041.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.83 / $2,327.94 / $2,440.14
| Facility | | $1,698.83 | $2,327.94 | $2,440.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,642.58 / $1,642.58 / $1,664.39
| Facility | | $1,642.58 | $1,642.58 | $1,664.39 |
- 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 |