- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.72 / $658.90 / $10,561.00
| Facility | | $400.72 | $658.90 | $10,561.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $400.72 / $551.98 / $916.58
| Professional | | $400.72 | $551.98 | $916.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,704.83 / $1,704.83 / $1,729.70
| Facility | | $1,704.83 | $1,704.83 | $1,729.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $547.34 / $844.68 / $1,441.71
| Professional | | $547.34 | $844.68 | $1,441.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $748.70 / $748.70 / $2,710.28
| Facility | | $748.70 | $748.70 | $2,710.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $509.25 / $713.95 / $1,261.44
| Professional | | $509.25 | $713.95 | $1,261.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $408.80 / $718.73 / $1,043.11
| Facility | | $408.80 | $718.73 | $1,043.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $716.00 / $729.00 / $749.00
| Professional | | $716.00 | $729.00 | $749.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $739.90 / $1,561.80
| Professional | | $3.00 | $739.90 | $1,561.80 |
- 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
- $487.94 / $726.99 / $1,544.74
| Professional | | $487.94 | $726.99 | $1,544.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,896.04 / $2,066.30 / $26,542.00
| Facility | | $1,896.04 | $2,066.30 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,041.84 / $4,134.56 / $4,697.33
| Professional | | $3,041.84 | $4,134.56 | $4,697.33 |