- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.04 / $1,181.00 / $10,171.79
| Facility | | $419.04 | $1,181.00 | $10,171.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $298.89 / $469.48 / $930.27
| Professional | | $298.89 | $469.48 | $930.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $766.82 / $766.82 / $766.82
| Professional | | $766.82 | $766.82 | $766.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $368.38 / $607.83 / $1,103.59
| Professional | | $368.38 | $607.83 | $1,103.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $2,062.80
| Facility | | $530.04 | $530.04 | $2,062.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $359.97 / $530.88 / $1,010.29
| Professional | | $359.97 | $530.88 | $1,010.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $324.87 / $530.00 / $807.79
| Facility | | $324.87 | $530.00 | $807.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $507.00 / $560.00 / $628.00
| Professional | | $507.00 | $560.00 | $628.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $649.40 / $1,240.50
| Professional | | $5.00 | $649.40 | $1,240.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,661.00 / $7,659.00 / $10,502.00
| Facility | | $1,661.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $387.55 / $533.15 / $1,122.21
| Professional | | $387.55 | $533.15 | $1,122.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,347.14 / $2,347.14 / $16,394.00
| Facility | | $2,347.14 | $2,347.14 | $16,394.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,459.36 / $3,504.40 / $4,169.47
| Professional | | $2,459.36 | $3,504.40 | $4,169.47 |