- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $469.10 / $2,588.50 / $5,638.59
| Facility | | $469.10 | $2,588.50 | $5,638.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.15 / $1,627.07 / $2,761.08
| Facility | | $1,479.15 | $1,627.07 | $2,761.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.41 / $1,362.98 / $2,709.73
| Facility | | $338.41 | $1,362.98 | $2,709.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $289.73 / $354.36 / $538.05
| Facility | | $289.73 | $354.36 | $538.05 |
- 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
- $1,700.52 / $7,929.30 / $12,000.00
| Facility | | $1,700.52 | $7,929.30 | $12,000.00 |