- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $4,048.00 / $8,451.00
| Facility | | $1,020.00 | $4,048.00 | $8,451.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $494.60 / $559.77 / $932.56
| Professional | | $494.60 | $559.77 | $932.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.95 / $7,827.00 / $19,139.18
| Facility | | $6,431.95 | $7,827.00 | $19,139.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $599.10 / $621.71 / $621.71
| Professional | | $599.10 | $621.71 | $621.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $679.48 / $679.48 / $679.48
| Facility | | $679.48 | $679.48 | $679.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $509.94 / $704.55 / $1,145.23
| Professional | | $509.94 | $704.55 | $1,145.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $700.03 / $929.26 / $1,209.14
| Professional | | $700.03 | $929.26 | $1,209.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,148.18 / $4,148.18 / $4,148.18
| Facility | | $4,148.18 | $4,148.18 | $4,148.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,054.00 / $4,993.00 / $10,247.00
| Facility | | $1,054.00 | $4,993.00 | $10,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $497.64 / $655.30 / $3,071.22
| Professional | | $497.64 | $655.30 | $3,071.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $623.40 / $623.40 / $1,167.70
| Professional | | $623.40 | $623.40 | $1,167.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $679.48 / $679.48 / $679.48
| Facility | | $679.48 | $679.48 | $679.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $522.49 / $723.71 / $1,155.54
| Professional | | $522.49 | $723.71 | $1,155.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.52 / $550.52 / $577.95
| Facility | | $550.52 | $550.52 | $577.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $536.53 / $550.52 / $579.28
| Professional | | $536.53 | $550.52 | $579.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $3,475.00 / $6,368.00
| Facility | | $2,155.00 | $3,475.00 | $6,368.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $568.41 / $735.30 / $1,133.24
| Professional | | $568.41 | $735.30 | $1,133.24 |