- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $269.15 / $2,454.71
| Facility | | $147.91 | $269.15 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $1,659.59 / $3,467.37
| Facility | | $933.25 | $1,659.59 | $3,467.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $977.24 / $2,344.23
| Facility | | $676.08 | $977.24 | $2,344.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $933.25 / $1,862.09
| Facility | | $758.58 | $933.25 | $1,862.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $363.08 / $1,698.24
| Facility | | $181.97 | $363.08 | $1,698.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $2,238.72 / $5,495.41
| Facility | | $1,174.90 | $2,238.72 | $5,495.41 |