- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $3,715.35 / $12,882.50
| Facility | | $977.24 | $3,715.35 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $138.04
| Facility | | $23.44 | $23.44 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $954.99
| Facility | | $54.95 | $56.23 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $295.12 / $5,128.61
| Facility | | $147.91 | $295.12 | $5,128.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $190.55 / $363.08
| Facility | | $138.04 | $190.55 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $2,454.71 / $10,232.93
| Facility | | $436.52 | $2,454.71 | $10,232.93 |