- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $4,570.88 / $15,488.17
| Facility | | $1,230.27 | $4,570.88 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $25,703.96 / $51,286.14
| Facility | | $14,791.08 | $25,703.96 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $20,417.38 / $20,417.38
| Facility | | $831.76 | $20,417.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,054.61 / $36,307.81
| Facility | | $14,125.38 | $19,054.61 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $14,454.40 / $14,454.40
| Facility | | $14,454.40 | $14,454.40 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,995.26 / $9,332.54
| Facility | | $891.25 | $1,995.26 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $891.25 / $1,348.96 / $21,877.62
| Facility | | $891.25 | $1,348.96 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $11,748.98 / $33,884.42
| Facility | | $5,370.32 | $11,748.98 | $33,884.42 |