- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $2,884.03 / $5,623.41
| Facility | | $1,513.56 | $2,884.03 | $5,623.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $389.05 / $457.09 / $1,122.02
| Professional | | $389.05 | $457.09 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $9,332.54 / $41,686.94
| Facility | | $1,023.29 | $9,332.54 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $630.96 / $8,511.38
| Professional | | $371.54 | $630.96 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.58 / $660.69 / $1,148.15
| Professional | | $426.58 | $660.69 | $1,148.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.74 / $1,023.29 / $7,079.46
| Facility | | $467.74 | $1,023.29 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $524.81 / $630.96 / $794.33
| Professional | | $524.81 | $630.96 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $8,709.64 / $29,512.09
| Facility | | $2,818.38 | $8,709.64 | $29,512.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.63 / $891.25 / $1,445.44
| Professional | | $478.63 | $891.25 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $9,332.54 / $41,686.94
| Facility | | $1,023.29 | $9,332.54 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $630.96 / $8,511.38
| Professional | | $371.54 | $630.96 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $9,332.54 / $32,359.37
| Facility | | $2,818.38 | $9,332.54 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $416.87 / $630.96 / $1,412.54
| Professional | | $416.87 | $630.96 | $1,412.54 |