- 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
- Professional
- Modifier
- Low / Median / High Price
- $162.18 / $407.38 / $1,949.84
| Professional | | $162.18 | $407.38 | $1,949.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $7,943.28 / $15,848.93
| Facility | | $4,570.88 | $7,943.28 | $15,848.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $446.68 / $1,071.52
| Professional | | $199.53 | $446.68 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.07 / $1,096.48 / $5,888.44
| Facility | | $66.07 | $1,096.48 | $5,888.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $389.05 / $831.76
| Professional | | $177.83 | $389.05 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $288.40 / $346.74
| Facility | | $288.40 | $288.40 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $407.38 / $912.01
| Professional | | $177.83 | $407.38 | $912.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $158.49 / $489.78
| Professional | | $109.65 | $158.49 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $147.91 / $346.74 / $660.69
| Professional | | $147.91 | $346.74 | $660.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.95 / $56.23 / $2,951.21
| Facility | | $54.95 | $56.23 | $2,951.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,467.37 / $3,467.37 / $3,467.37
| Professional | | $3,467.37 | $3,467.37 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $309.03 / $512.86
| Professional | | $309.03 | $309.03 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $346.74 / $707.95
| Facility | | $154.88 | $346.74 | $707.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $177.83 / $416.87 / $977.24
| Professional | | $177.83 | $416.87 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524.81 / $524.81 / $1,258.93
| Professional | | $524.81 | $524.81 | $1,258.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.82 / $158.49 / $380.19
| Professional | | $114.82 | $158.49 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,479.11 / $2,951.21 / $7,943.28
| Facility | | $1,479.11 | $2,951.21 | $7,943.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $346.74 / $831.76
| Professional | | $151.36 | $346.74 | $831.76 |