- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453.09 / $453.09 / $453.09
| Facility | | $453.09 | $453.09 | $453.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $384.25 / $792.68 / $14,809.25
| Facility | | $384.25 | $792.68 | $14,809.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,188.43 / $1,685.35 / $4,054.33
| Facility | | $1,188.43 | $1,685.35 | $4,054.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $966.11 / $1,540.81 / $3,192.39
| Facility | | $966.11 | $1,540.81 | $3,192.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.77 / $848.72 / $3,378.00
| Facility | | $606.77 | $848.72 | $3,378.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,751.00 / $3,500.00 / $8,152.00
| Facility | | $1,751.00 | $3,500.00 | $8,152.00 |