- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $725.41 / $4,587.79 / $10,284.34
| Facility | | $725.41 | $4,587.79 | $10,284.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $679.95 / $830.66 / $2,701.24
| Professional | | $679.95 | $830.66 | $2,701.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,794.89 / $1,794.89 / $1,821.08
| Facility | | $1,794.89 | $1,794.89 | $1,821.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $874.65 / $1,249.93 / $2,101.96
| Professional | | $874.65 | $1,249.93 | $2,101.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $2,062.80
| Facility | | $606.10 | $606.10 | $2,062.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $819.53 / $1,080.85 / $1,874.31
| Professional | | $819.53 | $1,080.85 | $1,874.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $725.41 / $941.93 / $1,378.20
| Facility | | $725.41 | $941.93 | $1,378.20 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $131.00 / $131.87 / $239.68
| Facility | AS | $131.00 | $131.87 | $239.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $920.00 / $920.00 / $947.00
| Professional | | $920.00 | $920.00 | $947.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $960.10 / $1,960.80
| Professional | | $5.00 | $960.10 | $1,960.80 |
- 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
- $650.28 / $869.42 / $1,797.14
| Professional | | $650.28 | $869.42 | $1,797.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $5,950.27 / $6,817.20
| Facility | | $55.00 | $5,950.27 | $6,817.20 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $165.08 / $388.48 / $646.16
| Facility | AS | $165.08 | $388.48 | $646.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5,285.68 / $6,382.80 / $6,382.80
| Professional | | $5,285.68 | $6,382.80 | $6,382.80 |