- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $549.54 / $1,513.56
| Facility | | $229.09 | $549.54 | $1,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $776.25 / $39,810.72
| Facility | | $204.17 | $776.25 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $186.21 / $208.93
| Facility | | $177.83 | $186.21 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $346.74 / $616.60
| Facility | | $204.17 | $346.74 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $2,290.87 / $7,413.10
| Facility | | $933.25 | $2,290.87 | $7,413.10 |