- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $516.44 / $565.83 / $7,219.17
| Facility | | $516.44 | $565.83 | $7,219.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $516.44 / $591.29 / $1,161.22
| Professional | | $516.44 | $591.29 | $1,161.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $333.00 / $938.99 / $1,534.84
| Facility | | $333.00 | $938.99 | $1,534.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $598.57 / $830.53 / $1,070.08
| Professional | | $598.57 | $830.53 | $1,070.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $742.78 / $743.96 / $786.15
| Facility | | $742.78 | $743.96 | $786.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $534.77 / $1,220.13 / $2,685.20
| Facility | | $534.77 | $1,220.13 | $2,685.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $632.37 / $851.14 / $1,453.60
| Professional | | $632.37 | $851.14 | $1,453.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,702.89 / $5,563.56 / $5,563.56
| Facility | | $1,702.89 | $5,563.56 | $5,563.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,811.54 / $4,811.54 / $6,617.55
| Professional | | $4,811.54 | $4,811.54 | $6,617.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $669.13 / $817.37 / $1,475.23
| Facility | | $669.13 | $817.37 | $1,475.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $746.70 / $1,277.18 / $1,706.34
| Professional | | $746.70 | $1,277.18 | $1,706.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $386.48 / $653.22 / $1,275.02
| Professional | | $386.48 | $653.22 | $1,275.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $642.95 / $850.78 / $1,670.47
| Facility | | $642.95 | $850.78 | $1,670.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $632.37 / $870.91 / $1,498.00
| Professional | | $632.37 | $870.91 | $1,498.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $630.89 / $838.57 / $1,262.48
| Professional | | $630.89 | $838.57 | $1,262.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $660.63 / $746.70 / $1,050.91
| Professional | | $660.63 | $746.70 | $1,050.91 |