- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $1,995.26 / $7,244.36
| Facility | | $162.18 | $1,995.26 | $7,244.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $151.36 / $398.11
| Professional | | $66.07 | $151.36 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $74.13 / $74.13
| Professional | | $74.13 | $74.13 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,570.40 / $57,543.99
| Facility | | $2,344.23 | $2,570.40 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $190.55 / $275.42
| Professional | | $138.04 | $190.55 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.13 / $158.49 / $309.03
| Professional | | $74.13 | $158.49 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $257.04 / $281.84
| Professional | | $199.53 | $257.04 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.11 / $208.93 / $331.13
| Professional | | $85.11 | $208.93 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $2,630.27 / $5,623.41
| Facility | | $1,071.52 | $2,630.27 | $5,623.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.83 / $1,862.09 / $7,079.46
| Facility | | $177.83 | $1,862.09 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $162.18 / $446.68
| Professional | | $69.18 | $162.18 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.23 / $316.23 / $346.74
| Facility | | $316.23 | $316.23 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.19 / $295.12 / $389.05
| Professional | | $251.19 | $295.12 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $75.86 / $218.78
| Facility | | $51.29 | $75.86 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $75.86 / $281.84
| Professional | | $66.07 | $75.86 | $281.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $2,238.72 / $5,248.07
| Facility | | $501.19 | $2,238.72 | $5,248.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.79 / $144.54 / $257.04
| Professional | | $70.79 | $144.54 | $257.04 |