- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $382.38 / $1,369.50 / $8,002.00
| Facility | | $382.38 | $1,369.50 | $8,002.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $347.25 / $496.30 / $871.48
| Professional | | $347.25 | $496.30 | $871.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $639.75 / $639.75 / $649.09
| Facility | | $639.75 | $639.75 | $649.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $465.35 / $724.78 / $1,294.84
| Professional | | $465.35 | $724.78 | $1,294.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.70 / $748.70 / $1,215.60
| Facility | | $748.70 | $748.70 | $1,215.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $437.89 / $631.54 / $1,122.56
| Professional | | $437.89 | $631.54 | $1,122.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $365.13 / $618.09 / $917.81
| Facility | | $365.13 | $618.09 | $917.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $635.24 / $669.00 / $749.00
| Professional | | $635.24 | $669.00 | $749.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $679.90 / $1,443.30
| Professional | | $3.00 | $679.90 | $1,443.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $554.00 / $2,417.00 / $4,102.00
| Facility | | $554.00 | $2,417.00 | $4,102.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $447.41 / $625.54 / $1,394.37
| Professional | | $447.41 | $625.54 | $1,394.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,694.20 / $1,859.06 / $26,542.00
| Facility | | $1,694.20 | $1,859.06 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,709.76 / $3,771.44 / $4,314.68
| Professional | | $2,709.76 | $3,771.44 | $4,314.68 |