- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $7,943.28 / $22,908.68
| Facility | | $1,548.82 | $7,943.28 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $1,995.26 / $3,311.31
| Facility | | $1,995.26 | $1,995.26 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,905.46 / $8,317.64
| Facility | | $1,071.52 | $1,905.46 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,548.82 / $1,621.81
| Facility | | $1,202.26 | $1,548.82 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $1,096.48 / $1,096.48
| Facility | | $1,096.48 | $1,096.48 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $9,332.54 / $17,378.01
| Facility | | $6,918.31 | $9,332.54 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $11,481.54 / $19,952.62
| Facility | | $1,995.26 | $11,481.54 | $19,952.62 |