- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $194.98 / $4,786.30
| Facility | | $52.48 | $194.98 | $4,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $1,819.70 / $4,265.80
| Facility | | $338.84 | $1,819.70 | $4,265.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $457.09 / $741.31 / $1,778.28
| Facility | | $457.09 | $741.31 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $691.83 / $1,412.54
| Facility | | $575.44 | $691.83 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $173.78 / $602.56
| Facility | | $61.66 | $173.78 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $2,691.53 / $6,456.54
| Facility | | $1,445.44 | $2,691.53 | $6,456.54 |