- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $7,244.36 / $15,488.17
| Facility | | $1,548.82 | $7,244.36 | $15,488.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.77 / $199.53 / $575.44
| Professional | | $46.77 | $199.53 | $575.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $14,791.08 / $15,848.93
| Facility | | $11,748.98 | $14,791.08 | $15,848.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.02 / $251.19 / $371.54
| Professional | | $0.02 | $251.19 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10,715.19 / $14,125.38 / $14,454.40
| Professional | | $10,715.19 | $14,125.38 | $14,454.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.08 / $436.52 / $537.03
| Professional | | $363.08 | $436.52 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $204.17 / $602.56
| Facility | | $46.77 | $204.17 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $91.20 / $19,952.62
| Facility | | $50.12 | $91.20 | $19,952.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $91.20 / $19,952.62
| Professional | | $50.12 | $91.20 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $18,197.01 / $40,738.03
| Facility | | $10,964.78 | $18,197.01 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $74.13 / $117.49
| Professional | | $45.71 | $74.13 | $117.49 |