- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $2,754.23 / $7,244.36
| Facility | | $371.54 | $2,754.23 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.80 / $371.54 / $1,479.11
| Professional | | $213.80 | $371.54 | $1,479.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $269.15 / $331.13 / $398.11
| Professional | | $269.15 | $331.13 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,570.40 / $57,543.99
| Facility | | $2,344.23 | $2,570.40 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $645.65 / $741.31
| Professional | | $380.19 | $645.65 | $741.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.88 / $380.19 / $616.60
| Professional | | $239.88 | $380.19 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $467.74 / $602.56 / $660.69
| Professional | | $467.74 | $602.56 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $457.09 / $691.83
| Professional | | $316.23 | $457.09 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $1,445.44 / $2,818.38
| Facility | | $831.76 | $1,445.44 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $354.81 / $389.05 / $416.87
| Professional | | $354.81 | $389.05 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $1,949.84 / $6,760.83
| Facility | | $371.54 | $1,949.84 | $6,760.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $389.05 / $1,023.29
| Professional | | $223.87 | $389.05 | $1,023.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.13 / $331.13 / $331.13
| Professional | | $331.13 | $331.13 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $354.81 / $478.63
| Facility | | $239.88 | $354.81 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.88 / $380.19 / $478.63
| Professional | | $239.88 | $380.19 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $1,230.27 / $3,890.45
| Facility | | $223.87 | $1,230.27 | $3,890.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $346.74 / $602.56
| Professional | | $223.87 | $346.74 | $602.56 |