- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $495.35 / $6,827.70 / $14,187.00
| Facility | | $495.35 | $6,827.70 | $14,187.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $432.64 / $485.88 / $545.29
| Professional | | $432.64 | $485.88 | $545.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,525.00 / $11,065.00 / $12,418.00
| Facility | | $8,525.00 | $11,065.00 | $12,418.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $397.37 / $508.15 / $696.92
| Professional | | $397.37 | $508.15 | $696.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.79 / $689.63 / $8,031.00
| Professional | | $478.79 | $689.63 | $8,031.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $437.58 / $574.23 / $1,065.60
| Professional | | $437.58 | $574.23 | $1,065.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $411.92 / $494.30 / $609.64
| Professional | | $411.92 | $494.30 | $609.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $474.00 / $596.75 / $889.16
| Facility | | $474.00 | $596.75 | $889.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $538.00 / $597.00 / $1,010.71
| Professional | | $538.00 | $597.00 | $1,010.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $424.79 / $568.77 / $7,902.00
| Facility | | $424.79 | $568.77 | $7,902.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $424.79 / $568.77 / $7,902.00
| Professional | | $424.79 | $568.77 | $7,902.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,367.00 / $13,296.00 / $26,537.00
| Facility | | $8,367.00 | $13,296.00 | $26,537.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $370.42 / $579.66 / $942.04
| Professional | | $370.42 | $579.66 | $942.04 |