- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,166.29 / $5,463.36 / $13,841.56
| Facility | | $2,166.29 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,283.48 / $12,008.73 / $21,074.53
| Facility | | $8,283.48 | $12,008.73 | $21,074.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $432.81 / $964.97 / $8,223.82
| Facility | | $432.81 | $964.97 | $8,223.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $866.23 / $1,076.48 / $4,114.05
| Facility | | $866.23 | $1,076.48 | $4,114.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |