- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $359.29 / $359.29 / $4,883.47
| Facility | | $359.29 | $359.29 | $4,883.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,720.02 / $5,801.31 / $12,091.88
| Facility | | $1,720.02 | $5,801.31 | $12,091.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $713.03 / $1,011.69 / $2,433.75
| Facility | | $713.03 | $1,011.69 | $2,433.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $648.21 / $924.92 / $1,916.34
| Facility | | $648.21 | $924.92 | $1,916.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $359.29 / $550.41 / $4,281.75
| Facility | | $359.29 | $550.41 | $4,281.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,121.00 / $5,499.00 / $9,810.00
| Facility | | $3,121.00 | $5,499.00 | $9,810.00 |