- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $290.39 / $725.74 / $1,772.45
| Facility | | $290.39 | $725.74 | $1,772.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.51 / $1,395.00 / $12,759.45
| Facility | | $1,083.51 | $1,395.00 | $12,759.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.37 / $588.80 / $759.25
| Facility | | $141.37 | $588.80 | $759.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.82 / $708.01 / $1,149.94
| Facility | | $366.82 | $708.01 | $1,149.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $270.02 / $617.11 / $1,759.35
| Facility | | $270.02 | $617.11 | $1,759.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.37 / $308.74 / $756.00
| Facility | | $141.37 | $308.74 | $756.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.83 / $187.06 / $316.68
| Facility | | $178.83 | $187.06 | $316.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $650.00 / $3,742.00
| Facility | | $144.00 | $650.00 | $3,742.00 |