- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $615.94 / $1,228.51 / $14,464.32
| Facility | | $615.94 | $1,228.51 | $14,464.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $311.98 / $443.24 / $899.21
| Professional | | $311.98 | $443.24 | $899.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,323.80 / $8,052.47 / $15,403.47
| Facility | | $2,323.80 | $8,052.47 | $15,403.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $572.25 / $980.56 / $3,491.92
| Professional | | $572.25 | $980.56 | $3,491.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,708.80 / $1,708.80 / $2,846.84
| Facility | | $1,708.80 | $1,708.80 | $2,846.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $500.88 / $845.46 / $1,436.23
| Professional | | $500.88 | $845.46 | $1,436.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $444.85 / $790.36 / $2,421.55
| Facility | | $444.85 | $790.36 | $2,421.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $450.48 / $785.55 / $1,403.72
| Professional | | $450.48 | $785.55 | $1,403.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.75 / $543.40 / $1,114.26
| Professional | | $49.75 | $543.40 | $1,114.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.75 / $857.59 / $949.39
| Facility | | $545.75 | $857.59 | $949.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $641.45 / $647.57 / $1,048.55
| Facility | | $641.45 | $647.57 | $1,048.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $569.53 / $830.16 / $1,187.02
| Professional | | $569.53 | $830.16 | $1,187.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,221.67 / $8,047.87 / $15,403.47
| Facility | | $5,221.67 | $8,047.87 | $15,403.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $532.04 / $765.75 / $1,096.76
| Professional | | $532.04 | $765.75 | $1,096.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $879.00 / $1,802.00 / $6,857.00
| Facility | | $879.00 | $1,802.00 | $6,857.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $552.72 / $930.42 / $1,372.95
| Professional | | $552.72 | $930.42 | $1,372.95 |