- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.60 / $3,908.01 / $13,841.56
| Facility | | $131.60 | $3,908.01 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $528.12 / $694.62 / $1,343.62
| Facility | | $528.12 | $694.62 | $1,343.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $193.40 / $193.40 / $193.40
| Facility | | $193.40 | $193.40 | $193.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.79 / $131.60 / $250.04
| Facility | | $33.79 | $131.60 | $250.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.69 / $230.01 / $384.32
| Facility | | $72.69 | $230.01 | $384.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,056.00 / $1,527.00 / $4,317.00
| Facility | | $1,056.00 | $1,527.00 | $4,317.00 |