- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $218.78 / $288.40
| Facility | | $85.11 | $218.78 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,235.94 / $5,754.40 / $15,135.61
| Facility | | $3,235.94 | $5,754.40 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $549.54 / $1,318.26
| Facility | | $389.05 | $549.54 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $501.19 / $1,023.29
| Facility | | $426.58 | $501.19 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $251.19 / $5,011.87
| Facility | | $128.82 | $251.19 | $5,011.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $5,248.07 / $8,912.51
| Facility | | $2,884.03 | $5,248.07 | $8,912.51 |