- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $354.81 / $2,398.83
| Facility | | $93.33 | $354.81 | $2,398.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $57.54 / $120.23
| Facility | | $34.67 | $57.54 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $16.98 / $85.11
| Facility | | $12.02 | $16.98 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $891.25 / $5,754.40
| Facility | | $794.33 | $891.25 | $5,754.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $758.58 / $758.58 / $30,199.52
| Facility | | $758.58 | $758.58 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $436.52 / $436.52
| Facility | | $29.51 | $436.52 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $851.14 / $5,754.40
| Facility | | $794.33 | $851.14 | $5,754.40 |