- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.19 / $670.00 / $2,749.30
| Facility | | $141.19 | $670.00 | $2,749.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $317.45 / $710.36 / $1,197.88
| Facility | | $317.45 | $710.36 | $1,197.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.64 / $464.64 / $1,117.74
| Facility | | $327.64 | $464.64 | $1,117.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.35 / $424.79 / $880.11
| Facility | | $266.35 | $424.79 | $880.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.24 / $274.20 / $1,292.66
| Facility | | $162.24 | $274.20 | $1,292.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,063.00 / $1,597.44 / $3,584.00
| Facility | | $1,063.00 | $1,597.44 | $3,584.00 |