- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $3,235.94 / $7,943.28
| Facility | | $323.59 | $3,235.94 | $7,943.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $676.08 / $1,318.26
| Professional | | $158.49 | $676.08 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $3,981.07 / $4,466.84
| Facility | | $3,090.30 | $3,981.07 | $4,466.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $186.21 / $602.56 / $1,202.26
| Professional | | $186.21 | $602.56 | $1,202.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $213.80 / $331.13 / $3,548.13
| Professional | | $213.80 | $331.13 | $3,548.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $616.60 / $1,621.81
| Professional | | $204.17 | $616.60 | $1,621.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $891.25 / $2,290.87
| Professional | | $147.91 | $891.25 | $2,290.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,041.74 / $2,041.74 / $2,041.74
| Professional | | $2,041.74 | $2,041.74 | $2,041.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $691.83 / $1,513.56
| Facility | | $173.78 | $691.83 | $1,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $257.04 / $4,073.80
| Facility | | $173.78 | $257.04 | $4,073.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $851.14 / $1,288.25 / $4,073.80
| Professional | | $851.14 | $1,288.25 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $3,467.37 / $5,754.40
| Facility | | $1,737.80 | $3,467.37 | $5,754.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $165.96 / $537.03 / $1,698.24
| Professional | | $165.96 | $537.03 | $1,698.24 |