- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562.34 / $3,630.78 / $10,715.19
| Facility | | $562.34 | $3,630.78 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $309.03 / $549.54
| Facility | | $251.19 | $309.03 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $1,737.80 / $2,187.76
| Facility | | $87.10 | $1,737.80 | $2,187.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $77.62 / $162.18
| Facility | | $54.95 | $77.62 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,023.29 / $1,023.29
| Facility | | $1,023.29 | $1,023.29 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $1,737.80 / $2,344.23
| Facility | | $1,071.52 | $1,737.80 | $2,344.23 |