- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $181.97 / $2,238.72
| Facility | | $181.97 | $181.97 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.15 / $2,754.23 / $5,370.32
| Facility | | $1,148.15 | $2,754.23 | $5,370.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $691.83 / $1,659.59
| Facility | | $436.52 | $691.83 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $676.08 / $1,318.26
| Facility | | $537.03 | $676.08 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $281.84 / $1,230.27
| Facility | | $186.21 | $281.84 | $1,230.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $3,467.37 / $6,456.54
| Facility | | $1,995.26 | $3,467.37 | $6,456.54 |