- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.02 / $4,265.80 / $10,471.29
| Facility | | $1,122.02 | $4,265.80 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.82 / $114.82 / $114.82
| Facility | | $114.82 | $114.82 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $1,288.25
| Facility | | $54.95 | $56.23 | $1,288.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $1,122.02 / $7,413.10
| Facility | | $141.25 | $1,122.02 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $302.00 / $575.44
| Facility | | $128.82 | $302.00 | $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 |