- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $2,884.03 / $5,128.61
| Facility | | $1,513.56 | $2,884.03 | $5,128.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $186.21 / $426.58
| Professional | | $138.04 | $186.21 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $1,071.52 / $28,840.32
| Facility | | $354.81 | $1,071.52 | $28,840.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.88 / $309.03 / $2,454.71
| Professional | | $154.88 | $309.03 | $2,454.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $194.98 / $295.12 / $602.56
| Professional | | $194.98 | $295.12 | $602.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $501.19 / $7,079.46
| Facility | | $173.78 | $501.19 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.78 / $229.09 / $323.59
| Professional | | $173.78 | $229.09 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $323.59 / $478.63
| Professional | | $177.83 | $323.59 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $1,071.52 / $28,840.32
| Facility | | $354.81 | $1,071.52 | $28,840.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.54 / $309.03 / $2,454.71
| Professional | | $144.54 | $309.03 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $1,819.70 / $2,818.38
| Facility | | $501.19 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.55 / $309.03 / $478.63
| Professional | | $190.55 | $309.03 | $478.63 |