- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $453.24 / $1,038.83 / $14,464.32
| Facility | | $453.24 | $1,038.83 | $14,464.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $307.67 / $430.07 / $889.34
| Professional | | $307.67 | $430.07 | $889.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.16 / $909.12 / $2,010.57
| Facility | | $150.16 | $909.12 | $2,010.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $534.33 / $851.12 / $2,876.32
| Professional | | $534.33 | $851.12 | $2,876.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.86 / $231.86 / $386.27
| Facility | | $231.86 | $231.86 | $386.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $474.37 / $733.28 / $1,184.79
| Professional | | $474.37 | $733.28 | $1,184.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $290.16 / $654.90 / $1,009.27
| Facility | | $290.16 | $654.90 | $1,009.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $358.36 / $658.16 / $956.59
| Professional | | $358.36 | $658.16 | $956.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.39 / $638.86 / $1,052.11
| Professional | | $100.39 | $638.86 | $1,052.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518.70 / $758.48 / $806.01
| Facility | | $518.70 | $758.48 | $806.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.16 / $536.35 / $549.77
| Facility | | $150.16 | $536.35 | $549.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $532.16 / $730.63 / $1,030.78
| Professional | | $532.16 | $730.63 | $1,030.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $589.53 / $908.60 / $1,739.05
| Facility | | $589.53 | $908.60 | $1,739.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $461.35 / $687.99 / $950.54
| Professional | | $461.35 | $687.99 | $950.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.62 / $278.06 / $5,793.00
| Facility | | $259.62 | $278.06 | $5,793.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $511.28 / $814.88 / $1,155.70
| Professional | | $511.28 | $814.88 | $1,155.70 |