- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $3,467.37 / $12,022.64
| Facility | | $257.04 | $3,467.37 | $12,022.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.78 / $512.86 / $1,122.02
| Professional | | $173.78 | $512.86 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,388.44 / $5,888.44 / $12,302.69
| Facility | | $3,388.44 | $5,888.44 | $12,302.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562.34 / $707.95 / $1,995.26
| Professional | | $562.34 | $707.95 | $1,995.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $229.09 / $12,302.69
| Facility | | $229.09 | $229.09 | $12,302.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $229.09 / $776.25
| Professional | | $229.09 | $229.09 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $275.42 / $50,118.72
| Facility | | $34.67 | $275.42 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $446.68 / $1,621.81
| Professional | | $151.36 | $446.68 | $1,621.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $288.40 / $549.54
| Facility | | $165.96 | $288.40 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $549.54 / $707.95 / $954.99
| Professional | | $549.54 | $707.95 | $954.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $416.87 / $630.96 / $851.14
| Professional | | $416.87 | $630.96 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $199.53 / $213.80
| Professional | | $199.53 | $199.53 | $213.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $50,118.72 / $75,857.76
| Facility | | $177.83 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $645.65 / $794.33 / $891.25
| Professional | | $645.65 | $794.33 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $2,754.23 / $4,897.79
| Facility | | $1,318.26 | $2,754.23 | $4,897.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.18 / $512.86 / $1,258.93
| Professional | | $162.18 | $512.86 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $199.53 / $645.65
| Facility | | $128.82 | $199.53 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $630.96 / $977.24
| Professional | | $316.23 | $630.96 | $977.24 |