- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $1,479.11 / $2,238.72
| Facility | | $630.96 | $1,479.11 | $2,238.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.08 / $478.63 / $1,174.90
| Professional | | $363.08 | $478.63 | $1,174.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.08 / $446.68 / $794.33
| Professional | | $363.08 | $446.68 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $97.72 / $489.78
| Facility | | $97.72 | $97.72 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.72 / $489.78 / $588.84
| Professional | | $97.72 | $489.78 | $588.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $1,047.13 / $3,801.89
| Facility | | $295.12 | $1,047.13 | $3,801.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.74 / $588.84 / $2,137.96
| Professional | | $346.74 | $588.84 | $2,137.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $478.63 / $1,318.26
| Facility | | $295.12 | $478.63 | $1,318.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $436.52 / $549.54 / $851.14
| Professional | | $436.52 | $549.54 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.13 / $588.84 / $891.25
| Professional | | $331.13 | $588.84 | $891.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $512.86 / $512.86 / $512.86
| Professional | | $512.86 | $512.86 | $512.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $467.74 / $549.54 / $616.60
| Professional | | $467.74 | $549.54 | $616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $199.53 / $251.19
| Facility | | $138.04 | $199.53 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.59 / $446.68 / $977.24
| Professional | | $323.59 | $446.68 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $416.87 / $1,513.56
| Facility | | $295.12 | $416.87 | $1,513.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $295.12 / $575.44 / $1,023.29
| Professional | | $295.12 | $575.44 | $1,023.29 |