- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $616.60 / $933.25
| Facility | | $309.03 | $616.60 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $794.33 / $1,698.24
| Facility | | $363.08 | $794.33 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $489.78 / $1,174.90
| Facility | | $346.74 | $489.78 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $295.12 / $295.12 / $295.12
| Facility | 22 | $295.12 | $295.12 | $295.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $467.74 / $912.01
| Facility | | $380.19 | $467.74 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $426.58 / $1,737.80
| Facility | | $158.49 | $426.58 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $1,862.09 / $3,715.35
| Facility | | $616.60 | $1,862.09 | $3,715.35 |