- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.54 / $380.44 / $14,464.32
| Facility | | $163.54 | $380.44 | $14,464.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.83 / $2,421.15 / $4,941.05
| Facility | | $187.83 | $2,421.15 | $4,941.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.97 / $870.49 / $1,132.06
| Facility | | $714.97 | $870.49 | $1,132.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.80 / $213.20 / $840.73
| Facility | | $114.80 | $213.20 | $840.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.20 / $268.29 / $280.16
| Facility | | $174.20 | $268.29 | $280.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.64 / $187.83 / $927.31
| Facility | | $186.64 | $187.83 | $927.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,859.61 / $2,581.55 / $4,941.05
| Facility | | $1,859.61 | $2,581.55 | $4,941.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $472.00 / $938.00 / $4,611.00
| Facility | | $472.00 | $938.00 | $4,611.00 |