- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $3,019.95 / $4,897.79
| Facility | | $446.68 | $3,019.95 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $4,677.35 / $45,708.82
| Facility | | $831.76 | $4,677.35 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $416.87 / $954.99
| Facility | | $416.87 | $416.87 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $741.31 / $6,456.54
| Facility | | $676.08 | $741.31 | $6,456.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $691.83 / $7,079.46
| Facility | | $316.23 | $691.83 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,801.89 / $9,772.37
| Facility | | $524.81 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $4,677.35 / $45,708.82
| Facility | | $831.76 | $4,677.35 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,890.45 / $11,220.18
| Facility | | $1,071.52 | $3,890.45 | $11,220.18 |