- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $1,548.82 / $2,691.53
| Facility | | $1,445.44 | $1,548.82 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $912.01 / $1,047.13
| Facility | | $912.01 | $912.01 | $1,047.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $1,258.93 / $1,737.80
| Facility | | $851.14 | $1,258.93 | $1,737.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.44 / $1,548.82 / $2,691.53
| Facility | | $1,445.44 | $1,548.82 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.25 / $933.25 / $1,412.54
| Facility | | $776.25 | $933.25 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $741.31 / $933.25 / $1,318.26
| Facility | | $741.31 | $933.25 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $4,073.80 / $17,378.01
| Facility | | $851.14 | $4,073.80 | $17,378.01 |