- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $3,235.94 / $8,317.64
| Facility | | $436.52 | $3,235.94 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $489.78 / $933.25
| Professional | | $338.84 | $489.78 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $7,413.10 / $9,332.54
| Facility | | $6,606.93 | $7,413.10 | $9,332.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $575.44 / $912.01
| Professional | | $380.19 | $575.44 | $912.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $389.05 / $6,165.95
| Professional | | $338.84 | $389.05 | $6,165.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $416.87 / $524.81
| Facility | | $338.84 | $416.87 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.13 / $489.78 / $891.25
| Professional | | $331.13 | $489.78 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562.34 / $691.83 / $1,148.15
| Professional | | $562.34 | $691.83 | $1,148.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $446.68 / $524.81 / $676.08
| Professional | | $446.68 | $524.81 | $676.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $537.03 / $870.96
| Facility | | $354.81 | $537.03 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $380.19 / $380.19 / $831.76
| Professional | | $380.19 | $380.19 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $416.87 / $1,548.82
| Facility | | $331.13 | $416.87 | $1,548.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $407.38 / $562.34 / $2,187.76
| Professional | | $407.38 | $562.34 | $2,187.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $6,025.60 / $13,803.84
| Facility | | $1,071.52 | $6,025.60 | $13,803.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $295.12 / $467.74 / $794.33
| Professional | | $295.12 | $467.74 | $794.33 |