- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.70 / $620.46 / $7,693.77
| Facility | | $194.70 | $620.46 | $7,693.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $766.70 / $843.36 / $1,431.16
| Facility | | $766.70 | $843.36 | $1,431.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453.24 / $887.89 / $1,675.01
| Facility | | $453.24 | $887.89 | $1,675.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.70 / $321.00 / $531.66
| Facility | | $194.70 | $321.00 | $531.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $393.00 / $650.00 / $4,824.00
| Facility | | $393.00 | $650.00 | $4,824.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,077.11 / $4,901.45 / $16,394.00
| Facility | | $1,077.11 | $4,901.45 | $16,394.00 |