- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.00 / $4,778.89 / $13,841.56
| Facility | | $1,653.00 | $4,778.89 | $13,841.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.52 / $243.90 / $850.38
| Professional | | $120.52 | $243.90 | $850.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $241.24 / $241.24 / $283.95
| Professional | | $241.24 | $241.24 | $283.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,008.77 / $8,711.03 / $15,287.30
| Facility | | $6,008.77 | $8,711.03 | $15,287.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.30 / $287.04 / $1,176.40
| Professional | | $126.30 | $287.04 | $1,176.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $233.08 / $903.41 / $1,981.88
| Professional | | $233.08 | $903.41 | $1,981.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.31 / $597.91 / $1,699.35
| Facility | | $126.31 | $597.91 | $1,699.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $981.44 / $1,544.40 / $4,609.28
| Professional | | $981.44 | $1,544.40 | $4,609.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.75 / $1,326.78 / $2,918.93
| Facility | | $314.75 | $1,326.78 | $2,918.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $282.38 / $1,158.89 / $1,878.78
| Professional | | $282.38 | $1,158.89 | $1,878.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $511.40 / $1,807.90
| Professional | | $4.00 | $511.40 | $1,807.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,393.07 / $5,341.00 / $8,632.00
| Facility | | $4,393.07 | $5,341.00 | $8,632.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $981.44 / $1,525.15 / $1,832.01
| Professional | | $981.44 | $1,525.15 | $1,832.01 |