- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.42 / $3,548.13 / $8,317.64
| Facility | | $234.42 | $3,548.13 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.53 / $302.00 / $831.76
| Professional | | $199.53 | $302.00 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $6,165.95 / $57,543.99
| Facility | | $5,011.87 | $6,165.95 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.87 / $251.19 / $263.03
| Professional | | $223.87 | $251.19 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $194.98 / $295.12 / $489.78
| Professional | | $194.98 | $295.12 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $407.38 / $446.68
| Professional | | $316.23 | $407.38 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $208.93 / $346.74 / $501.19
| Professional | | $208.93 | $346.74 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $5,623.41 / $9,120.11
| Facility | | $4,365.16 | $5,623.41 | $9,120.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.58 / $2,818.38 / $8,317.64
| Facility | | $426.58 | $2,818.38 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $323.59 / $741.31
| Professional | | $204.17 | $323.59 | $741.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $302.00 / $537.03
| Facility | | $302.00 | $302.00 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $257.04 / $457.09 / $549.54
| Professional | | $257.04 | $457.09 | $549.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $251.19 / $371.54
| Facility | | $151.36 | $251.19 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.66 / $245.47 / $371.54
| Professional | | $61.66 | $245.47 | $371.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,348.96 / $3,311.31 / $6,606.93
| Facility | | $1,348.96 | $3,311.31 | $6,606.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $186.21 / $269.15 / $457.09
| Professional | | $186.21 | $269.15 | $457.09 |