- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $467.74 / $2,454.71
| Facility | | $177.83 | $467.74 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $263.03 / $263.03
| Facility | | $263.03 | $263.03 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $288.40 / $50,118.72
| Facility | | $239.88 | $288.40 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $257.04 / $645.65
| Facility | | $199.53 | $257.04 | $645.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $354.81 / $524.81
| Facility | | $316.23 | $354.81 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.55 / $50,118.72 / $75,857.76
| Facility | | $190.55 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $870.96 / $2,754.23 / $4,897.79
| Facility | | $870.96 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $251.19 / $707.95
| Facility | | $147.91 | $251.19 | $707.95 |