- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $4,265.80 / $8,317.64
| Facility | | $323.59 | $4,265.80 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $208.93 / $354.81 / $741.31
| Professional | | $208.93 | $354.81 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,890.45 / $33,884.42
| Facility | | $524.81 | $3,890.45 | $33,884.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $426.58 / $2,691.53
| Professional | | $223.87 | $426.58 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $263.03 / $263.03 / $602.56
| Facility | | $263.03 | $263.03 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,348.96 / $1,659.59 / $1,659.59
| Professional | | $1,348.96 | $1,659.59 | $1,659.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $1,445.44 / $3,090.30
| Facility | | $199.53 | $1,445.44 | $3,090.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $407.38 / $851.14
| Professional | | $223.87 | $407.38 | $851.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $1,122.02 / $7,762.47
| Facility | | $204.17 | $1,122.02 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $398.11 / $562.34 / $794.33
| Professional | | $398.11 | $562.34 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,801.89 / $9,772.37
| Facility | | $524.81 | $3,801.89 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.88 / $446.68 / $933.25
| Professional | | $239.88 | $446.68 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $3,890.45 / $33,884.42
| Facility | | $524.81 | $3,890.45 | $33,884.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $426.58 / $2,691.53
| Professional | | $223.87 | $426.58 | $2,691.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,071.52 / $3,890.45 / $9,549.93
| Facility | | $1,071.52 | $3,890.45 | $9,549.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $407.38 / $912.01
| Professional | | $223.87 | $407.38 | $912.01 |