- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.49 / $158.49 / $3,311.31
| Facility | | $158.49 | $158.49 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.38 / $2,238.72 / $5,370.32
| Facility | | $407.38 | $2,238.72 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $602.56 / $1,445.44
| Facility | | $380.19 | $602.56 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $575.44 / $1,122.02
| Facility | | $467.74 | $575.44 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $309.03 / $2,290.87
| Facility | | $173.78 | $309.03 | $2,290.87 |
- 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 |