- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $6,456.54 / $16,982.44
| Facility | | $2,290.87 | $6,456.54 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $4,466.84 / $12,022.64
| Facility | | $2,570.40 | $4,466.84 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $2,511.89 / $7,079.46
| Facility | | $66.07 | $2,511.89 | $7,079.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $660.69 / $3,467.37 / $5,623.41
| Facility | | $660.69 | $3,467.37 | $5,623.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $234.42 / $1,380.38
| Professional | | $177.83 | $234.42 | $1,380.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $676.08 / $1,479.11
| Professional | | $177.83 | $676.08 | $1,479.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $15,488.17
| Facility | | $54.95 | $56.23 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $660.69 / $1,348.96
| Facility | | $199.53 | $660.69 | $1,348.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $7,244.36 / $15,135.61
| Facility | | $3,090.30 | $7,244.36 | $15,135.61 |