- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $479.66 / $759.57 / $2,054.34
| Facility | | $479.66 | $759.57 | $2,054.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $408.83 / $596.88 / $948.88
| Professional | | $408.83 | $596.88 | $948.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $409.71 / $535.57 / $1,318.61
| Professional | | $409.71 | $535.57 | $1,318.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.87 / $331.87 / $428.12
| Facility | | $331.87 | $331.87 | $428.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.87 / $428.12 / $759.99
| Professional | | $331.87 | $428.12 | $759.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $586.90 / $793.30 / $1,817.74
| Facility | | $586.90 | $793.30 | $1,817.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $490.78 / $711.14 / $1,685.90
| Professional | | $490.78 | $711.14 | $1,685.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $250.00 / $319.00 / $675.74
| Facility | | $250.00 | $319.00 | $675.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $479.22 / $652.60 / $1,154.05
| Professional | | $479.22 | $652.60 | $1,154.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.91 / $374.91 / $374.91
| Facility | | $374.91 | $374.91 | $374.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $374.91 / $524.57 / $1,035.60
| Professional | | $374.91 | $524.57 | $1,035.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $254.50 / $739.32 / $1,711.62
| Facility | | $254.50 | $739.32 | $1,711.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $511.42 / $766.78 / $1,726.55
| Professional | | $511.42 | $766.78 | $1,726.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $422.25 / $569.54 / $1,312.64
| Professional | | $422.25 | $569.54 | $1,312.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $590.98 / $590.98 / $1,334.12
| Facility | | $590.98 | $590.98 | $1,334.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $452.56 / $723.31 / $1,409.03
| Professional | | $452.56 | $723.31 | $1,409.03 |