- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.38 / $123.97 / $145.84
| Facility | | $109.38 | $123.97 | $145.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $268.70 / $607.98 / $1,364.52
| Facility | | $268.70 | $607.98 | $1,364.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $386.40 / $548.25 / $1,318.88
| Facility | | $386.40 | $548.25 | $1,318.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $304.41 / $501.23 / $1,038.49
| Facility | | $304.41 | $501.23 | $1,038.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $159.07 / $254.50 / $355.78
| Facility | | $159.07 | $254.50 | $355.78 |