- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,481.66 / $10,218.60 / $12,210.50
| Facility | | $2,481.66 | $10,218.60 | $12,210.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,751.76 / $2,364.88 / $2,481.66
| Professional | | $1,751.76 | $2,364.88 | $2,481.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,277.29 / $2,277.29 / $2,277.29
| Professional | | $2,277.29 | $2,277.29 | $2,277.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,954.67 / $3,793.20 / $8,723.91
| Facility | | $1,954.67 | $3,793.20 | $8,723.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14,072.47 / $14,072.47 / $14,072.47
| Professional | | $14,072.47 | $14,072.47 | $14,072.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,065.58 / $3,941.46 / $7,211.41
| Professional | | $3,065.58 | $3,941.46 | $7,211.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,250.97 / $10,074.40 / $12,210.50
| Facility | | $3,250.97 | $10,074.40 | $12,210.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,916.13 / $2,481.66 / $12,057.90
| Professional | | $1,916.13 | $2,481.66 | $12,057.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,321.01 / $4,379.39 / $5,839.20
| Professional | | $4,321.01 | $4,379.39 | $5,839.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,034.38 / $3,689.20 / $9,688.16
| Facility | | $2,034.38 | $3,689.20 | $9,688.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14,072.47 / $14,072.47 / $14,072.47
| Professional | | $14,072.47 | $14,072.47 | $14,072.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,919.60 / $2,919.60 / $3,211.56
| Facility | | $2,919.60 | $2,919.60 | $3,211.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,919.60 / $2,919.60 / $3,211.56
| Professional | | $2,919.60 | $2,919.60 | $3,211.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,226.23 / $1,751.76 / $4,087.44
| Professional | | $1,226.23 | $1,751.76 | $4,087.44 |