- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $549.54 / $3,548.13
| Facility | | $165.96 | $549.54 | $3,548.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,630.27 / $14,791.08 / $23,442.29
| Facility | | $2,630.27 | $14,791.08 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $257.04 / $407.38
| Facility | | $218.78 | $257.04 | $407.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $165.96 / $398.11
| Facility | | $87.10 | $165.96 | $398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $2,691.53 / $4,466.84
| Facility | | $102.33 | $2,691.53 | $4,466.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.36 / $234.42 / $1,023.29
| Professional | | $151.36 | $234.42 | $1,023.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $1,258.93 / $1,258.93
| Facility | | $199.53 | $1,258.93 | $1,258.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $14,125.38 / $15,488.17
| Facility | | $10,964.78 | $14,125.38 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.23 / $2,884.03 / $5,011.87
| Facility | | $2,344.23 | $2,884.03 | $5,011.87 |