- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,369.94 / $1,369.94 / $1,973.53
| Facility | | $1,369.94 | $1,369.94 | $1,973.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $531.34 / $1,480.15 / $1,480.15
| Professional | | $531.34 | $1,480.15 | $1,480.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $592.05 / $1,578.82 / $2,960.28
| Facility | | $592.05 | $1,578.82 | $2,960.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $913.29 / $1,480.15 / $1,628.17
| Facility | | $913.29 | $1,480.15 | $1,628.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $759.05 / $774.23 / $910.86
| Professional | | $759.05 | $774.23 | $910.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $759.05
| Professional | | $30.00 | $30.00 | $759.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,138.58 / $1,518.10 / $2,732.58
| Facility | | $1,138.58 | $1,518.10 | $2,732.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,134.30 / $1,134.30 / $1,172.42
| Professional | | $1,134.30 | $1,134.30 | $1,172.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $318.80 / $318.80 / $1,138.58
| Professional | | $318.80 | $318.80 | $1,138.58 |