- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.29 / $162.38 / $191.05
| Facility | | $143.29 | $162.38 | $191.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $351.08 / $794.55 / $1,753.58
| Facility | | $351.08 | $794.55 | $1,753.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $505.10 / $716.66 / $1,724.03
| Facility | | $505.10 | $716.66 | $1,724.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $397.92 / $655.20 / $1,357.50
| Facility | | $397.92 | $655.20 | $1,357.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208.11 / $322.87 / $464.04
| Facility | | $208.11 | $322.87 | $464.04 |