- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $645.65 / $14,454.40
| Facility | | $281.84 | $645.65 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $17,378.01 / $29,512.09
| Facility | | $11,481.54 | $17,378.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.83 / $954.99 / $1,584.89
| Facility | | $812.83 | $954.99 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $537.03 / $3,548.13
| Facility | | $281.84 | $537.03 | $3,548.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $630.96 / $19,498.45
| Facility | | $288.40 | $630.96 | $19,498.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $467.74 / $707.95 / $1,071.52
| Professional | | $467.74 | $707.95 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $38,018.94 / $77,624.71
| Facility | | $20,417.38 | $38,018.94 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $16,982.44 / $22,387.21
| Facility | | $8,709.64 | $16,982.44 | $22,387.21 |