- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,230.27 / $3,981.07 / $10,964.78
| Facility | | $1,230.27 | $3,981.07 | $10,964.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.71 / $363.08 / $954.99
| Professional | | $104.71 | $363.08 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,630.78 / $5,011.87
| Facility | | $1,819.70 | $3,630.78 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $46.77 / $144.54
| Professional | | $37.15 | $46.77 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Facility | | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Professional | | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $446.68 / $53,703.18
| Facility | | $446.68 | $446.68 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $186.21 / $1,584.89 / $1,584.89
| Professional | | $186.21 | $1,584.89 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $234.42 / $309.03
| Facility | | $165.96 | $234.42 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $275.42 / $407.38
| Professional | | $75.86 | $275.42 | $407.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $309.03 / $537.03
| Professional | | $38.90 | $309.03 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $2,754.23 / $4,897.79
| Facility | | $1,071.52 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $61.66 / $165.96
| Professional | | $39.81 | $61.66 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $269.15 / $269.15
| Facility | | $37.15 | $269.15 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $269.15 / $537.03
| Professional | | $38.90 | $269.15 | $537.03 |