- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $274.61 / $1,143.49 / $14,147.36
| Facility | | $274.61 | $1,143.49 | $14,147.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $182.35 / $274.61 / $738.62
| Professional | | $182.35 | $274.61 | $738.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,060.00 / $7,344.00 / $10,517.23
| Facility | | $5,060.00 | $7,344.00 | $10,517.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $321.44 / $705.64 / $1,451.05
| Professional | | $321.44 | $705.64 | $1,451.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $854.26 / $998.27 / $1,610.18
| Facility | | $854.26 | $998.27 | $1,610.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $408.87 / $631.13 / $1,095.76
| Professional | | $408.87 | $631.13 | $1,095.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.35 / $331.34 / $613.09
| Facility | | $213.35 | $331.34 | $613.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228.31 / $450.02 / $8,384.00
| Facility | | $228.31 | $450.02 | $8,384.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $375.41 / $901.86 / $1,888.00
| Professional | | $375.41 | $901.86 | $1,888.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.91 / $282.32 / $723.07
| Professional | | $37.91 | $282.32 | $723.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.93 / $321.29 / $613.09
| Facility | | $207.93 | $321.29 | $613.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $517.86 / $746.90 / $1,078.10
| Professional | | $517.86 | $746.90 | $1,078.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,040.08 / $1,040.08 / $1,040.08
| Facility | | $1,040.08 | $1,040.08 | $1,040.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $417.92 / $1,363.05 / $2,400.96
| Professional | | $417.92 | $1,363.05 | $2,400.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $454.75 / $923.56 / $1,378.96
| Professional | | $454.75 | $923.56 | $1,378.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,918.00 / $6,477.00 / $8,384.00
| Facility | | $4,918.00 | $6,477.00 | $8,384.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $361.16 / $832.86 / $1,339.25
| Professional | | $361.16 | $832.86 | $1,339.25 |