- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,941.50 / $3,076.97 / $3,715.58
| Facility | | $2,941.50 | $3,076.97 | $3,715.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.16 / $106.64 / $106.64
| Facility | | $58.16 | $106.64 | $106.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $396.60 / $396.60 / $610.77
| Facility | | $396.60 | $396.60 | $610.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.92 / $78.31 / $111.18
| Facility | | $58.92 | $78.31 | $111.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.34 / $78.06 / $111.18
| Facility | | $58.34 | $78.06 | $111.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,120.00 / $1,120.00 / $1,645.00
| Facility | | $1,120.00 | $1,120.00 | $1,645.00 |