- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $1,513.56 / $17,782.79
| Facility | | $338.84 | $1,513.56 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,344.23 / $2,344.23
| Facility | | $2,344.23 | $2,344.23 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $426.58 / $4,466.84
| Facility | | $239.88 | $426.58 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $389.05 / $416.87
| Facility | | $309.03 | $389.05 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $288.40 / $288.40
| Facility | | $275.42 | $288.40 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,772.37 / $19,054.61
| Facility | | $6,606.93 | $9,772.37 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $12,302.69 / $20,892.96
| Facility | | $1,995.26 | $12,302.69 | $20,892.96 |