- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,983.33 / $6,703.66 / $10,240.50
| Facility | | $1,983.33 | $6,703.66 | $10,240.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,469.14 / $2,007.82 / $3,060.70
| Professional | | $1,469.14 | $2,007.82 | $3,060.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,457.08 / $10,948.98 / $16,642.13
| Facility | | $8,457.08 | $10,948.98 | $16,642.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,909.88 / $1,909.88 / $1,909.88
| Professional | | $1,909.88 | $1,909.88 | $1,909.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,323.67 / $3,617.21 / $8,125.62
| Facility | | $2,323.67 | $3,617.21 | $8,125.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,126.48 / $2,256.69 / $4,247.58
| Professional | | $1,126.48 | $2,256.69 | $4,247.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,456.89 / $3,305.56 / $4,652.26
| Professional | | $1,456.89 | $3,305.56 | $4,652.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $256.32 / $3,996.32 / $14,167.67
| Facility | | $256.32 | $3,996.32 | $14,167.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,762.96 / $6,703.66 / $10,240.50
| Facility | | $1,762.96 | $6,703.66 | $10,240.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,665.02 / $2,081.28 / $10,112.60
| Professional | | $1,665.02 | $2,081.28 | $10,112.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,039.20 / $3,623.87 / $4,897.12
| Professional | | $1,039.20 | $3,623.87 | $4,897.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,383.37 / $4,073.60 / $8,125.62
| Facility | | $2,383.37 | $4,073.60 | $8,125.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,126.48 / $2,266.59 / $4,263.80
| Professional | | $1,126.48 | $2,266.59 | $4,263.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,448.56 / $2,448.56 / $2,693.42
| Facility | | $2,448.56 | $2,448.56 | $2,693.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,448.56 / $2,448.56 / $2,693.42
| Professional | | $2,448.56 | $2,448.56 | $2,693.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,028.40 / $1,469.14 / $3,427.98
| Professional | | $1,028.40 | $1,469.14 | $3,427.98 |