- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $2,238.72 / $6,918.31
| Facility | | $537.03 | $2,238.72 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $363.08 / $794.33
| Facility | | $208.93 | $363.08 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $436.52 / $446.68
| Facility | | $79.43 | $436.52 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $19,498.45 / $19,498.45
| Facility | | $2,884.03 | $19,498.45 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $630.96 / $2,238.72
| Facility | | $457.09 | $630.96 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $602.56 / $1,023.29
| Facility | | $446.68 | $602.56 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $1,047.13 / $2,691.53
| Facility | | $162.18 | $1,047.13 | $2,691.53 |