- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $2,691.53 / $8,317.64
| Facility | | $724.44 | $2,691.53 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $144.54 / $323.59
| Professional | | $40.74 | $144.54 | $323.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $204.17 / $316.23
| Professional | | $199.53 | $204.17 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $74.13 / $74.13
| Facility | | $74.13 | $74.13 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $162.18 / $346.74
| Professional | | $45.71 | $162.18 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $269.15 / $309.03 / $446.68
| Professional | | $269.15 | $309.03 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $229.09 / $436.52
| Professional | | $52.48 | $229.09 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $616.60 / $2,344.23 / $8,317.64
| Facility | | $616.60 | $2,344.23 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.66 / $158.49 / $478.63
| Professional | | $42.66 | $158.49 | $478.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $263.03 / $316.23 / $426.58
| Professional | | $263.03 | $316.23 | $426.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $114.82 / $309.03
| Facility | | $70.79 | $114.82 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $114.82 / $309.03
| Professional | | $43.65 | $114.82 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $676.08 / $4,265.80
| Facility | | $144.54 | $676.08 | $4,265.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $141.25 / $309.03
| Professional | | $43.65 | $141.25 | $309.03 |