- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,313.87 / $1,933.54 / $2,385.67
| Facility | | $1,313.87 | $1,933.54 | $2,385.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $500.65 / $2,297.83 / $3,335.43
| Professional | | $500.65 | $2,297.83 | $3,335.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,093.79 / $2,705.12 / $4,670.47
| Facility | | $1,093.79 | $2,705.12 | $4,670.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.15 / $491.00 / $2,936.32
| Professional | | $50.15 | $491.00 | $2,936.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.58 / $36.58 / $36.58
| Facility | | $36.58 | $36.58 | $36.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $495.63 / $1,007.64 / $6,962.01
| Facility | | $495.63 | $1,007.64 | $6,962.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $201.07 / $289.54 / $519.74
| Professional | | $201.07 | $289.54 | $519.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $531.44 / $9,011.04 / $9,011.04
| Facility | | $531.44 | $9,011.04 | $9,011.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,824.77 / $4,824.77 / $4,824.77
| Professional | | $4,824.77 | $4,824.77 | $4,824.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.00 / $393.96 / $3,775.77
| Facility | | $38.00 | $393.96 | $3,775.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.58 / $66.20 / $303.23
| Professional | | $36.58 | $66.20 | $303.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.10 / $45.12 / $463.40
| Professional | | $44.10 | $45.12 | $463.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.36 / $412.17 / $3,356.63
| Facility | | $38.36 | $412.17 | $3,356.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.38 / $303.64 / $2,250,000.00
| Professional | | $199.38 | $303.64 | $2,250,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,327.01 / $2,861.66 / $6,578.17
| Facility | | $1,327.01 | $2,861.66 | $6,578.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $269.89 / $1,254.56 / $2,627.56
| Professional | | $269.89 | $1,254.56 | $2,627.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,695.80 / $2,984.89 / $4,293.72
| Professional | | $2,695.80 | $2,984.89 | $4,293.72 |