- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.08 / $461.64 / $1,454.17
| Facility | | $259.08 | $461.64 | $1,454.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.31 / $308.70 / $1,178.53
| Facility | | $226.31 | $308.70 | $1,178.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.33 / $458.58 / $1,026.46
| Facility | | $303.33 | $458.58 | $1,026.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $215.91 / $384.70 / $1,087.00
| Facility | | $215.91 | $384.70 | $1,087.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.00 / $550.00 / $1,769.00
| Facility | | $191.00 | $550.00 | $1,769.00 |