- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $2,238.72 / $3,801.89
| Facility | | $154.88 | $2,238.72 | $3,801.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $1,949.84 / $19,498.45
| Facility | | $154.88 | $1,949.84 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $72.44 / $169.82
| Facility | | $72.44 | $72.44 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $380.19 / $7,079.46
| Facility | | $69.18 | $380.19 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.48 / $2,511.89 / $7,079.46
| Facility | | $1,096.48 | $2,511.89 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $2,089.30 / $19,498.45
| Facility | | $154.88 | $2,089.30 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $2,511.89 / $6,165.95
| Facility | | $1,047.13 | $2,511.89 | $6,165.95 |