- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,905.46 / $4,168.69 / $10,232.93
| Facility | | $1,905.46 | $4,168.69 | $10,232.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.29 / $295.12 / $6,760.83
| Professional | | $51.29 | $295.12 | $6,760.83 |
- 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
- $109.65 / $138.04 / $3,162.28
| Professional | | $109.65 | $138.04 | $3,162.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.28 / $81.28 / $12,302.69
| Facility | | $81.28 | $81.28 | $12,302.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $81.28 / $2,630.27
| Professional | | $81.28 | $81.28 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $97.72 / $53,703.18
| Facility | | $97.72 | $97.72 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,290.87 / $6,025.60 / $26,302.68
| Professional | | $2,290.87 | $6,025.60 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $83.18 / $199.53
| Facility | | $52.48 | $83.18 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,897.79 / $8,128.31 / $14,454.40
| Professional | | $4,897.79 | $8,128.31 | $14,454.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,884.03 / $3,981.07 / $6,456.54
| Professional | | $2,884.03 | $3,981.07 | $6,456.54 |
- 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
- Professional
- Modifier
- Low / Median / High Price
- $2,089.30 / $2,570.40 / $2,884.03
| Professional | | $2,089.30 | $2,570.40 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $2,818.38 / $5,495.41
| Facility | | $1,258.93 | $2,818.38 | $5,495.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $1,023.29 / $4,168.69
| Professional | | $38.90 | $1,023.29 | $4,168.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $54.95 / $56.23
| Facility | | $47.86 | $54.95 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $2,951.21 / $6,456.54
| Professional | | $54.95 | $2,951.21 | $6,456.54 |