- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $4,570.88 / $8,709.64
| Facility | | $371.54 | $4,570.88 | $8,709.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $131.83 / $316.23
| Professional | | $75.86 | $131.83 | $316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $4,466.84 / $57,543.99
| Facility | | $3,801.89 | $4,466.84 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $194.98 / $288.40
| Professional | | $147.91 | $194.98 | $288.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.20 / $154.88 / $275.42
| Professional | | $112.20 | $154.88 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $169.82 / $186.21
| Professional | | $131.83 | $169.82 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $144.54 / $229.09
| Professional | | $109.65 | $144.54 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $6,025.60 / $13,182.57
| Facility | | $223.87 | $6,025.60 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $3,981.07 / $8,511.38
| Facility | | $467.74 | $3,981.07 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.15 / $151.36 / $346.74
| Professional | | $107.15 | $151.36 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $131.83 / $245.47
| Facility | | $131.83 | $131.83 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $190.55 / $269.15
| Professional | | $138.04 | $190.55 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $112.20 / $123.03
| Facility | | $74.13 | $112.20 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $114.82 / $309.03
| Professional | | $74.13 | $114.82 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $3,548.13 / $10,232.93
| Facility | | $1,348.96 | $3,548.13 | $10,232.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.72 / $128.82 / $229.09
| Professional | | $97.72 | $128.82 | $229.09 |