- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $194.98 / $2,238.72
| Facility | | $194.98 | $194.98 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.03 / $141.25 / $17,782.79
| Facility | | $123.03 | $141.25 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $691.83 / $1,659.59
| Facility | | $489.78 | $691.83 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $676.08 / $1,318.26
| Facility | | $537.03 | $676.08 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $363.08 / $1,737.80
| Facility | | $213.80 | $363.08 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $380.19 / $1,862.09 / $3,467.37
| Facility | | $380.19 | $1,862.09 | $3,467.37 |