- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,548.13 / $10,000.00
| Facility | | $1,000.00 | $3,548.13 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $263.03 / $1,148.15 / $3,311.31
| Professional | | $263.03 | $1,148.15 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.82 / $5,128.61 / $15,135.61
| Facility | | $1,548.82 | $5,128.61 | $15,135.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.03
| Professional | | $0.02 | $0.02 | $0.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $109.65 / $38,904.51
| Facility | | $34.67 | $109.65 | $38,904.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $288.40 / $812.83 / $1,778.28
| Professional | | $288.40 | $812.83 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.80 / $1,071.52 / $3,467.37
| Facility | | $213.80 | $1,071.52 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $295.12 / $346.74
| Professional | | $39.81 | $295.12 | $346.74 |