- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,282.64 / $1,919.79 / $7,920.26
| Facility | | $1,282.64 | $1,919.79 | $7,920.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $598.30 / $812.53 / $1,821.01
| Professional | | $598.30 | $812.53 | $1,821.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,014.49 / $1,540.23 / $2,401.51
| Professional | | $1,014.49 | $1,540.23 | $2,401.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,147.11 / $1,642.80 / $2,021.91
| Professional | | $1,147.11 | $1,642.80 | $2,021.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $898.11 / $1,229.55 / $2,050.92
| Facility | | $898.11 | $1,229.55 | $2,050.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,157.09 / $1,418.10 / $2,300.17
| Professional | | $1,157.09 | $1,418.10 | $2,300.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,113.92 / $1,580.15 / $1,750.71
| Facility | | $1,113.92 | $1,580.15 | $1,750.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $916.88 / $1,360.53 / $3,010.60
| Facility | | $916.88 | $1,360.53 | $3,010.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,277.04 / $1,638.81 / $2,214.52
| Professional | | $1,277.04 | $1,638.81 | $2,214.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,573.85 / $5,897.44 / $7,222.39
| Facility | | $4,573.85 | $5,897.44 | $7,222.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,314.93 / $1,764.90 / $2,470.13
| Professional | | $1,314.93 | $1,764.90 | $2,470.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,689.00 / $5,517.00 / $7,385.00
| Facility | | $1,689.00 | $5,517.00 | $7,385.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,139.44 / $1,614.61 / $2,567.46
| Professional | | $1,139.44 | $1,614.61 | $2,567.46 |