- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,506.15 / $4,241.22 / $13,841.56
| Facility | | $1,506.15 | $4,241.22 | $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
- $49.63 / $227.61 / $363.45
| Facility | | $49.63 | $227.61 | $363.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.27 / $263.00 / $367.20
| Facility | | $89.27 | $263.00 | $367.20 |
- 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 |