- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.62 / $700.51 / $5,449.00
| Facility | | $296.62 | $700.51 | $5,449.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $649.41 / $714.35 / $1,212.23
| Facility | | $649.41 | $714.35 | $1,212.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.86 / $650.35 / $1,226.89
| Facility | | $341.86 | $650.35 | $1,226.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.62 / $434.57 / $506.98
| Facility | | $296.62 | $434.57 | $506.98 |
- 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
- $55.00 / $1,373.35 / $3,590.15
| Facility | | $55.00 | $1,373.35 | $3,590.15 |