- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $1,380.38 / $8,317.64
| Facility | | $346.74 | $1,380.38 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $562.34 / $933.25
| Facility | | $562.34 | $562.34 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $891.25 / $1,479.11
| Facility | | $489.78 | $891.25 | $1,479.11 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $354.81 / $354.81 / $354.81
| Facility | 52 | $354.81 | $354.81 | $354.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $309.03 / $512.86
| Facility | | $239.88 | $309.03 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $398.11 / $1,778.28 / $5,888.44
| Facility | | $398.11 | $1,778.28 | $5,888.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $4,897.79 / $4,897.79
| Facility | | $56.23 | $4,897.79 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $3,890.45 / $3,890.45 / $3,890.45
| Facility | 52 | $3,890.45 | $3,890.45 | $3,890.45 |