- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $362.01 / $727.13 / $14,464.32
| Facility | | $362.01 | $727.13 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $929.36 / $5,772.11 / $14,934.15
| Facility | | $929.36 | $5,772.11 | $14,934.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,364.71 / $1,364.71 / $2,273.59
| Facility | | $1,364.71 | $1,364.71 | $2,273.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.19 / $499.96 / $1,828.65
| Facility | | $264.19 | $499.96 | $1,828.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $384.21 / $553.82 / $710.87
| Facility | | $384.21 | $553.82 | $710.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $482.90 / $484.88 / $839.66
| Facility | | $482.90 | $484.88 | $839.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,408.99 / $5,768.81 / $11,041.39
| Facility | | $4,408.99 | $5,768.81 | $11,041.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |