- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,002.07 / $3,490.97 / $9,596.50
| Facility | | $1,002.07 | $3,490.97 | $9,596.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $728.17 / $1,108.95 / $1,135.68
| Professional | | $728.17 | $1,108.95 | $1,135.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.00 / $614.00 / $6,693.81
| Facility | | $244.00 | $614.00 | $6,693.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $423.14 / $507.76 / $2,191.17
| Professional | | $423.14 | $507.76 | $2,191.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.60 / $965.99 / $3,767.77
| Facility | | $92.60 | $965.99 | $3,767.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $607.91 / $868.46 / $2,171.58
| Professional | | $607.91 | $868.46 | $2,171.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $881.49 / $1,881.08 / $4,372.70
| Facility | | $881.49 | $1,881.08 | $4,372.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,336.09 / $1,603.31 / $2,137.73
| Professional | | $1,336.09 | $1,603.31 | $2,137.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,202.48 / $1,536.50 / $2,551.92
| Professional | | $1,202.48 | $1,536.50 | $2,551.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,324.80 / $6,346.43 / $6,346.43
| Facility | | $2,324.80 | $6,346.43 | $6,346.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6,653.73 / $6,653.73 / $10,020.68
| Professional | | $6,653.73 | $6,653.73 | $10,020.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,068.86 / $1,603.31 / $3,545.05
| Facility | | $1,068.86 | $1,603.31 | $3,545.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,336.09 / $1,469.70 / $2,004.14
| Professional | | $1,336.09 | $1,469.70 | $2,004.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $561.16 / $1,336.09 / $1,336.09
| Facility | | $561.16 | $1,336.09 | $1,336.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $561.16 / $561.16 / $2,645.46
| Professional | | $561.16 | $561.16 | $2,645.46 |