- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $263.03 / $14,454.40
| Facility | | $138.04 | $263.03 | $14,454.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.82 / $138.04 / $446.68
| Professional | | $114.82 | $138.04 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $4,786.30 / $7,585.78
| Facility | | $3,311.31 | $4,786.30 | $7,585.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.82 / $245.47 / $588.84
| Professional | | $128.82 | $245.47 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $389.05 / $616.60
| Facility | | $331.13 | $389.05 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.55 / $389.05 / $436.52
| Professional | | $190.55 | $389.05 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $3,019.95 / $5,370.32
| Facility | | $138.04 | $3,019.95 | $5,370.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.09 / $316.23 / $389.05
| Professional | | $229.09 | $316.23 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $5,495.41 / $8,317.64
| Facility | | $138.04 | $5,495.41 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.83 / $239.88 / $1,071.52
| Professional | | $131.83 | $239.88 | $1,071.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $177.83
| Professional | | $32.36 | $33.11 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $295.12 / $416.87
| Professional | | $151.36 | $295.12 | $416.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $9,549.93 / $9,549.93
| Facility | | $6,456.54 | $9,549.93 | $9,549.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.55 / $630.96 / $1,071.52
| Professional | | $190.55 | $630.96 | $1,071.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.23 / $316.23 / $316.23
| Professional | | $316.23 | $316.23 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.84 / $691.83 / $707.95
| Professional | | $281.84 | $691.83 | $707.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $7,413.10 / $9,120.11
| Facility | | $4,897.79 | $7,413.10 | $9,120.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.89 / $204.17 / $549.54
| Professional | | $125.89 | $204.17 | $549.54 |