- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $357.23 / $4,778.89 / $13,841.56
| Facility | | $357.23 | $4,778.89 | $13,841.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $244.00 / $357.23 / $900.51
| Professional | | $244.00 | $357.23 | $900.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $220.81 / $477.42 / $581.64
| Professional | | $220.81 | $477.42 | $581.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,609.82 / $6,063.17 / $11,728.12
| Facility | | $4,609.82 | $6,063.17 | $11,728.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $260.26 / $485.94 / $728.84
| Professional | | $260.26 | $485.94 | $728.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,062.42 / $1,062.42 / $1,062.42
| Facility | | $1,062.42 | $1,062.42 | $1,062.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $458.11 / $756.70 / $1,101.45
| Professional | | $458.11 | $756.70 | $1,101.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.49 / $463.60 / $1,240.76
| Facility | | $288.49 | $463.60 | $1,240.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $488.83 / $808.44 / $1,979.04
| Professional | | $488.83 | $808.44 | $1,979.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $578.59 / $829.69 / $1,331.66
| Facility | | $578.59 | $829.69 | $1,331.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $529.00 / $717.99 / $1,031.55
| Professional | | $529.00 | $717.99 | $1,031.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,263.22 / $3,093.00 / $7,934.00
| Facility | | $1,263.22 | $3,093.00 | $7,934.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $469.23 / $808.44 / $1,052.85
| Professional | | $469.23 | $808.44 | $1,052.85 |