- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.09 / $234.95 / $3,167.27
| Facility | | $125.09 | $234.95 | $3,167.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591.69 / $5,752.62 / $12,091.88
| Facility | | $591.69 | $5,752.62 | $12,091.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $901.60 / $1,279.24 / $3,077.38
| Facility | | $901.60 | $1,279.24 | $3,077.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $756.15 / $1,169.53 / $2,423.14
| Facility | | $756.15 | $1,169.53 | $2,423.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $183.40 / $460.38 / $957.72
| Facility | | $183.40 | $460.38 | $957.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,121.00 / $5,499.00 / $9,787.00
| Facility | | $3,121.00 | $5,499.00 | $9,787.00 |