- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $309.03 / $9,772.37
| Facility | | $144.54 | $309.03 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $6,309.57 / $13,182.57
| Facility | | $3,801.89 | $6,309.57 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $1,122.02 / $2,630.27
| Facility | | $794.33 | $1,122.02 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $1,071.52 / $2,089.30
| Facility | | $851.14 | $1,071.52 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $346.74 / $2,511.89
| Facility | | $162.18 | $346.74 | $2,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,380.38 / $3,467.37 / $7,079.46
| Facility | | $1,380.38 | $3,467.37 | $7,079.46 |