- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $478.63 / $7,943.28
| Facility | | $380.19 | $478.63 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $2,290.87 / $2,290.87
| Facility | | $2,290.87 | $2,290.87 | $2,290.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $354.81 / $446.68
| Professional | | $257.04 | $354.81 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $288.40 / $489.78
| Facility | | $186.21 | $288.40 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.03 / $371.54 / $389.05
| Facility | | $309.03 | $371.54 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $288.40 / $478.63
| Facility | | $177.83 | $288.40 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $6,025.60 / $7,244.36
| Facility | | $4,365.16 | $6,025.60 | $7,244.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $5,495.41 / $7,413.10
| Facility | | $1,548.82 | $5,495.41 | $7,413.10 |