- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $5,495.41 / $6,918.31
| Facility | | $4,786.30 | $5,495.41 | $6,918.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $389.05 / $478.63 / $1,096.48
| Professional | | $389.05 | $478.63 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $15,848.93 / $64,565.42
| Facility | | $8,317.64 | $15,848.93 | $64,565.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $575.44 / $676.08 / $691.83
| Professional | | $575.44 | $676.08 | $691.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.63 / $616.60 / $741.31
| Professional | | $478.63 | $616.60 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $741.31 / $4,786.30
| Facility | | $467.74 | $741.31 | $4,786.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524.81 / $602.56 / $954.99
| Professional | | $524.81 | $602.56 | $954.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $58,884.37 / $79,432.82
| Facility | | $42,657.95 | $58,884.37 | $79,432.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $676.08 / $724.44 / $776.25
| Professional | | $676.08 | $724.44 | $776.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $288.40 / $549.54 / $56,234.13
| Professional | | $288.40 | $549.54 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $112,201.85 / $165,958.69
| Facility | | $14,454.40 | $112,201.85 | $165,958.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $398.11 / $549.54 / $776.25
| Professional | | $398.11 | $549.54 | $776.25 |