- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $2,238.72 / $3,801.89
| Facility | | $588.84 | $2,238.72 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $741.31 / $4,168.69
| Facility | | $56.23 | $741.31 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $165.96 / $389.05
| Facility | | $165.96 | $165.96 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $218.78 / $7,079.46
| Facility | | $128.82 | $218.78 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $954.99 / $7,244.36
| Facility | | $56.23 | $954.99 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $1,862.09 / $2,818.38
| Facility | | $630.96 | $1,862.09 | $2,818.38 |