- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $407.38 / $5,248.07
| Facility | | $158.49 | $407.38 | $5,248.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $2,511.89 / $5,370.32
| Facility | | $1,047.13 | $2,511.89 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,548.82 / $3,715.35
| Facility | | $1,071.52 | $1,548.82 | $3,715.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,380.38 / $2,884.03
| Facility | | $1,202.26 | $1,380.38 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $457.09 / $1,202.26
| Facility | | $186.21 | $457.09 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $3,019.95 / $6,456.54
| Facility | | $1,445.44 | $3,019.95 | $6,456.54 |