- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,439.33 / $7,181.84 / $20,680.40
| Facility | | $4,439.33 | $7,181.84 | $20,680.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $4,506.02 / $52,984.40
| Facility | | $55.00 | $4,506.02 | $52,984.40 |
- 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
- $3,098.45 / $6,473.55 / $8,235.43
| Facility | | $3,098.45 | $6,473.55 | $8,235.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,692.72 / $6,267.39 / $6,606.20
| Facility | | $4,692.72 | $6,267.39 | $6,606.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,445.74 / $4,445.74 / $4,506.02
| Facility | | $4,445.74 | $4,445.74 | $4,506.02 |
- 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 |