- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $2,884.03 / $7,413.10
| Facility | | $489.78 | $2,884.03 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,888.44 / $12,302.69
| Facility | | $3,388.44 | $5,888.44 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $1,258.93 / $4,073.80
| Facility | | $457.09 | $1,258.93 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $1,318.26 / $50,118.72
| Facility | | $549.54 | $1,318.26 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $363.08 / $1,071.52
| Facility | | $263.03 | $363.08 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $50,118.72 / $75,857.76
| Facility | | $371.54 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $3,981.07 / $8,709.64
| Facility | | $1,862.09 | $3,981.07 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $416.87 / $1,122.02
| Facility | | $263.03 | $416.87 | $1,122.02 |