- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $4,466.84 / $17,782.79
| Facility | | $1,096.48 | $4,466.84 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $436.52 / $2,344.23
| Facility | | $257.04 | $436.52 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.93 / $208.93 / $208.93
| Facility | | $208.93 | $208.93 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $1,905.46
| Facility | | $54.95 | $56.23 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $3,715.35 / $17,378.01
| Facility | | $338.84 | $3,715.35 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $295.12 / $575.44
| Facility | | $218.78 | $295.12 | $575.44 |
- 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 |