- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.63 / $5,888.44 / $69,183.10
| Facility | | $478.63 | $5,888.44 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $457.09 / $691.83
| Professional | | $371.54 | $457.09 | $691.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141,253.75 / $154,881.66 / $169,824.37
| Facility | | $141,253.75 | $154,881.66 | $169,824.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.74 / $467.74 / $645.65
| Professional | | $346.74 | $467.74 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $389.05 / $9,549.93 / $12,022.64
| Professional | | $389.05 | $9,549.93 | $12,022.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $501.19 / $870.96
| Professional | | $380.19 | $501.19 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $380.19 / $467.74
| Professional | | $316.23 | $380.19 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $891.25 / $891.25 / $891.25
| Professional | | $891.25 | $891.25 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $537.03 / $831.76
| Facility | | $371.54 | $537.03 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $524.81 / $39,810.72
| Facility | | $354.81 | $524.81 | $39,810.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $354.81 / $524.81 / $39,810.72
| Professional | | $354.81 | $524.81 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $85,113.80 / $138,038.43
| Facility | | $24,547.09 | $85,113.80 | $138,038.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $562.34 / $870.96
| Professional | | $338.84 | $562.34 | $870.96 |