- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $5,463.36 / $13,841.56
| Facility | | $1,506.15 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.78 / $448.29 / $841.55
| Facility | | $330.78 | $448.29 | $841.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.59 / $256.69 / $452.06
| Facility | | $101.59 | $256.69 | $452.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.57 / $306.07 / $482.96
| Facility | | $182.57 | $306.07 | $482.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,031.00 / $1,775.00 / $4,406.00
| Facility | | $1,031.00 | $1,775.00 | $4,406.00 |