- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $2,238.72 / $3,801.89
| Facility | | $549.54 | $2,238.72 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $2,884.03 / $19,498.45
| Facility | | $512.86 | $2,884.03 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $263.03 / $616.60
| Facility | | $263.03 | $263.03 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $478.63 / $1,584.89
| Facility | | $446.68 | $478.63 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $426.58 / $7,079.46
| Facility | | $208.93 | $426.58 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $3,162.28 / $8,511.38
| Facility | | $616.60 | $3,162.28 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.86 / $2,884.03 / $19,498.45
| Facility | | $512.86 | $2,884.03 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $3,162.28 / $8,511.38
| Facility | | $676.08 | $3,162.28 | $8,511.38 |