- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $431.56 / $1,003.13 / $14,464.32
| Facility | | $431.56 | $1,003.13 | $14,464.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $296.55 / $420.82 / $856.44
| Professional | | $296.55 | $420.82 | $856.44 |
- 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
- $520.64 / $834.51 / $2,763.44
| Professional | | $520.64 | $834.51 | $2,763.44 |
- 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
- $463.35 / $716.63 / $1,137.39
| Professional | | $463.35 | $716.63 | $1,137.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $290.16 / $651.41 / $968.11
| Facility | | $290.16 | $651.41 | $968.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $353.26 / $651.41 / $922.66
| Professional | | $353.26 | $651.41 | $922.66 |
- 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
- $499.79 / $730.07 / $775.19
| Facility | | $499.79 | $730.07 | $775.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.16 / $514.16 / $528.75
| Facility | | $150.16 | $514.16 | $528.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $518.54 / $729.06 / $1,006.04
| Professional | | $518.54 | $729.06 | $1,006.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $663.37 / $908.60 / $1,739.05
| Facility | | $663.37 | $908.60 | $1,739.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $445.71 / $675.43 / $939.24
| Professional | | $445.71 | $675.43 | $939.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.00 / $666.00 / $6,216.00
| Facility | | $190.00 | $666.00 | $6,216.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $480.31 / $781.90 / $1,110.32
| Professional | | $480.31 | $781.90 | $1,110.32 |