- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $524.81 / $1,096.48
| Facility | | $190.55 | $524.81 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $489.78 / $1,071.52 / $2,290.87
| Facility | | $489.78 | $1,071.52 | $2,290.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $1,202.26 / $2,884.03
| Facility | | $794.33 | $1,202.26 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $1,148.15 / $2,238.72
| Facility | | $933.25 | $1,148.15 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $457.09 / $1,737.80
| Facility | | $199.53 | $457.09 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $602.56 / $1,862.09 / $3,715.35
| Facility | | $602.56 | $1,862.09 | $3,715.35 |