- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117.49 / $5,370.32 / $9,549.93
| Facility | | $117.49 | $5,370.32 | $9,549.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $81.28 / $158.49
| Professional | | $67.61 | $81.28 | $158.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $2,454.71 / $4,786.30
| Facility | | $1,071.52 | $2,454.71 | $4,786.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $112.20 / $162.18
| Professional | | $70.79 | $112.20 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $10,471.29 / $11,748.98
| Facility | | $7,244.36 | $10,471.29 | $11,748.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.28 / $123.03 / $190.55
| Professional | | $81.28 | $123.03 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $75.86 / $208.93
| Professional | | $64.57 | $75.86 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,047.13 / $3,388.44 / $9,120.11
| Facility | | $1,047.13 | $3,388.44 | $9,120.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $102.33 / $177.83
| Professional | | $67.61 | $102.33 | $177.83 |