- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $2,089.30 / $6,760.83
| Facility | | $218.78 | $2,089.30 | $6,760.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,659.59 / $2,884.03 / $5,623.41
| Facility | | $1,659.59 | $2,884.03 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.65 / $1,698.24 / $6,309.57
| Facility | | $109.65 | $1,698.24 | $6,309.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $112.20 / $112.20
| Facility | | $83.18 | $112.20 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $1,380.38 / $1,380.38
| Facility | | $1,380.38 | $1,380.38 | $1,380.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $19,498.45 / $19,498.45
| Facility | | $5,495.41 | $19,498.45 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $218.78 / $3,162.28
| Facility | | $102.33 | $218.78 | $3,162.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $165.96 / $346.74
| Facility | | $97.72 | $165.96 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $4,073.80 / $8,709.64
| Facility | | $1,380.38 | $4,073.80 | $8,709.64 |