- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $615.49 / $1,748.14 / $1,925.28
| Facility | | $615.49 | $1,748.14 | $1,925.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $247.07 / $372.94 / $396.24
| Professional | | $247.07 | $372.94 | $396.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.61 / $363.61 / $363.61
| Professional | | $363.61 | $363.61 | $363.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $312.10 / $605.66 / $1,392.94
| Facility | | $312.10 | $605.66 | $1,392.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,246.94 / $2,246.94 / $2,246.94
| Professional | | $2,246.94 | $2,246.94 | $2,246.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $489.48 / $629.33 / $1,151.44
| Professional | | $489.48 | $629.33 | $1,151.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $717.44 / $1,925.28 / $1,925.28
| Facility | | $717.44 | $1,925.28 | $1,925.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $305.95 / $396.24 / $1,925.28
| Professional | | $305.95 | $396.24 | $1,925.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $689.93 / $699.25 / $932.34
| Professional | | $689.93 | $699.25 | $932.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $324.83 / $588.98 / $1,547.32
| Facility | | $324.83 | $588.98 | $1,547.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,246.94 / $2,246.94 / $2,246.94
| Professional | | $2,246.94 | $2,246.94 | $2,246.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.17 / $466.17 / $512.79
| Facility | | $466.17 | $466.17 | $512.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $466.17 / $466.17 / $512.79
| Professional | | $466.17 | $466.17 | $512.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $195.79 / $279.70 / $622.42
| Professional | | $195.79 | $279.70 | $622.42 |