- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $3,981.07 / $9,332.54
| Facility | | $354.81 | $3,981.07 | $9,332.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $186.21 / $229.09 / $691.83
| Professional | | $186.21 | $229.09 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $9,772.37 / $18,620.87
| Facility | | $4,570.88 | $9,772.37 | $18,620.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.88 / $199.53 / $524.81
| Professional | | $154.88 | $199.53 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.42 / $275.42 / $16,595.87
| Facility | | $275.42 | $275.42 | $16,595.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.42 / $275.42 / $275.42
| Professional | | $275.42 | $275.42 | $275.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $316.23 / $50,118.72
| Facility | | $34.67 | $316.23 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.49 / $389.05 / $912.01
| Professional | | $158.49 | $389.05 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181.97 / $288.40 / $691.83
| Facility | | $181.97 | $288.40 | $691.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $194.98 / $239.88 / $354.81
| Professional | | $194.98 | $239.88 | $354.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $251.19 / $398.11
| Professional | | $169.82 | $251.19 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $275.42 / $489.78
| Professional | | $223.87 | $275.42 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $5,128.61 / $12,882.50
| Facility | | $2,398.83 | $5,128.61 | $12,882.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $218.78 / $588.84
| Professional | | $151.36 | $218.78 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $204.17 / $380.19
| Facility | | $151.36 | $204.17 | $380.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $234.42 / $478.63
| Professional | | $151.36 | $234.42 | $478.63 |