- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $3,235.94 / $7,079.46
| Facility | | $630.96 | $3,235.94 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.47 / $316.23 / $549.54
| Professional | | $245.47 | $316.23 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $3,548.13 / $9,120.11
| Facility | | $1,819.70 | $3,548.13 | $9,120.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $398.11 / $478.63 / $489.78
| Professional | | $398.11 | $478.63 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $295.12 / $389.05 / $467.74
| Professional | | $295.12 | $389.05 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $512.86 / $4,466.84
| Facility | | $288.40 | $512.86 | $4,466.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.47 / $380.19 / $489.78
| Professional | | $245.47 | $380.19 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $33.11
| Professional | | $32.36 | $32.36 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $7,762.47 / $11,220.18
| Facility | | $6,025.60 | $7,762.47 | $11,220.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.13 / $389.05 / $467.74
| Professional | | $331.13 | $389.05 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $426.58 / $4,786.30
| Professional | | $204.17 | $426.58 | $4,786.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $12,302.69 / $12,302.69
| Facility | | $5,495.41 | $12,302.69 | $12,302.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.19 / $346.74 / $501.19
| Professional | | $251.19 | $346.74 | $501.19 |