- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.86 / $726.83 / $871.48
| Facility | | $550.86 | $726.83 | $871.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $585.84 / $748.21 / $1,016.72
| Professional | | $585.84 | $748.21 | $1,016.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $658.24 / $787.66 / $1,196.90
| Professional | | $658.24 | $787.66 | $1,196.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,224.16 / $1,224.16 / $1,224.16
| Professional | | $1,224.16 | $1,224.16 | $1,224.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $719.23 / $785.03 / $815.70
| Facility | | $719.23 | $785.03 | $815.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $876.11 / $876.11 / $876.11
| Facility | | $876.11 | $876.11 | $876.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $647.52 / $840.20 / $1,378.54
| Professional | | $647.52 | $840.20 | $1,378.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.76 / $3,462.08 / $3,758.63
| Facility | | $1,778.76 | $3,462.08 | $3,758.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,845.55 / $5,409.99 / $6,206.93
| Professional | | $4,845.55 | $5,409.99 | $6,206.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $648.16 / $798.37 / $1,330.77
| Facility | | $648.16 | $798.37 | $1,330.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $813.74 / $1,109.64 / $1,533.44
| Professional | | $813.74 | $1,109.64 | $1,533.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $733.54 / $944.10 / $1,486.05
| Professional | | $733.54 | $944.10 | $1,486.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $653.61 / $798.69 / $1,421.76
| Facility | | $653.61 | $798.69 | $1,421.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $658.46 / $914.45 / $1,882.51
| Professional | | $658.46 | $914.45 | $1,882.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $528.35 / $693.46 / $1,088.10
| Professional | | $528.35 | $693.46 | $1,088.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $583.92 / $741.74 / $1,016.72
| Professional | | $583.92 | $741.74 | $1,016.72 |