- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $933.25 / $6,606.93
| Facility | | $269.15 | $933.25 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $1,479.11 / $1,949.84
| Facility | | $1,479.11 | $1,479.11 | $1,949.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $346.74 / $1,071.52
| Professional | | $229.09 | $346.74 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.25 / $338.84 / $831.76
| Facility | | $141.25 | $338.84 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $724.44 / $812.83
| Facility | | $338.84 | $724.44 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.90 / $309.03 / $794.33
| Facility | | $134.90 | $309.03 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $6,025.60 / $7,413.10
| Facility | | $4,365.16 | $6,025.60 | $7,413.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,621.81 / $8,128.31 / $12,022.64
| Facility | | $1,621.81 | $8,128.31 | $12,022.64 |