- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $5,495.41 / $10,471.29
| Facility | | $41.69 | $5,495.41 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $588.84 / $588.84
| Facility | | $588.84 | $588.84 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $602.56 / $616.60
| Facility | | $602.56 | $602.56 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $34.67 / $1,905.46
| Facility | | $19.95 | $34.67 | $1,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.95 / $1,202.26 / $3,311.31
| Facility | | $707.95 | $1,202.26 | $3,311.31 |