- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $438.68 / $1,528.26 / $4,201.09
| Facility | | $438.68 | $1,528.26 | $4,201.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $318.77 / $485.47 / $497.17
| Professional | | $318.77 | $485.47 | $497.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.00 / $614.00 / $2,930.35
| Facility | | $244.00 | $614.00 | $2,930.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $288.83 / $329.27 / $543.01
| Professional | | $288.83 | $329.27 | $543.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.40 / $772.07 / $5,246.55
| Facility | | $59.40 | $772.07 | $5,246.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $266.13 / $380.19 / $950.67
| Professional | | $266.13 | $380.19 | $950.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $391.68 / $785.09 / $1,914.26
| Facility | | $391.68 | $785.09 | $1,914.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $456.16 / $486.58 / $663.90
| Professional | | $456.16 | $486.58 | $663.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $584.90 / $643.39 / $789.62
| Professional | | $584.90 | $643.39 | $789.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $526.41 / $672.64 / $1,140.56
| Professional | | $526.41 | $672.64 | $1,140.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,017.73 / $2,778.28 / $2,778.28
| Facility | | $1,017.73 | $2,778.28 | $2,778.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,912.80 / $2,912.80 / $4,386.75
| Professional | | $2,912.80 | $2,912.80 | $4,386.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.92 / $701.88 / $1,532.36
| Facility | | $467.92 | $701.88 | $1,532.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $511.37 / $643.39 / $877.35
| Professional | | $511.37 | $643.39 | $877.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $467.92 / $596.60 / $994.33
| Professional | | $467.92 | $596.60 | $994.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.66 / $263.20 / $1,408.38
| Professional | | $245.66 | $263.20 | $1,408.38 |