- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $169.82 / $575.44
| Facility | | $162.18 | $169.82 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $316.23 / $316.23
| Facility | | $316.23 | $316.23 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $218.78 / $263.03
| Facility | | $218.78 | $218.78 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $165.96 / $239.88
| Facility | | $162.18 | $165.96 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $4,365.16 / $5,623.41
| Facility | | $263.03 | $4,365.16 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $245.47
| Facility | | $12.02 | $12.02 | $245.47 |