- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $245.47 / $7,079.46
| Facility | | $234.42 | $245.47 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $208.93 / $446.68
| Professional | | $109.65 | $208.93 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $4,786.30 / $7,585.78
| Facility | | $3,311.31 | $4,786.30 | $7,585.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.54 / $302.00 / $812.83
| Professional | | $144.54 | $302.00 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $575.44 / $676.08 / $1,071.52
| Facility | | $575.44 | $676.08 | $1,071.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $338.84 / $812.83
| Professional | | $141.25 | $338.84 | $812.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.71 / $190.55 / $2,238.72
| Facility | | $104.71 | $190.55 | $2,238.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $363.08 / $588.84
| Professional | | $204.17 | $363.08 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.71 / $194.98 / $3,235.94
| Facility | | $104.71 | $194.98 | $3,235.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.97 / $446.68 / $1,584.89
| Professional | | $181.97 | $446.68 | $1,584.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $144.54
| Professional | | $32.36 | $33.11 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $194.98 / $371.54 / $758.58
| Professional | | $194.98 | $371.54 | $758.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $1,288.25 / $1,288.25
| Facility | | $549.54 | $1,288.25 | $1,288.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.25 / $489.78 / $1,513.56
| Professional | | $141.25 | $489.78 | $1,513.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $354.81 / $616.60 / $1,071.52
| Professional | | $354.81 | $616.60 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $3,630.78 / $6,456.54
| Facility | | $2,884.03 | $3,630.78 | $6,456.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.82 / $208.93 / $562.34
| Professional | | $114.82 | $208.93 | $562.34 |