- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.29 / $865.30 / $5,785.11
| Facility | | $606.29 | $865.30 | $5,785.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $520.04 / $603.94 / $740.84
| Professional | | $520.04 | $603.94 | $740.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $941.10 / $1,219.73 / $2,254.09
| Facility | | $941.10 | $1,219.73 | $2,254.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $485.61 / $957.00 / $3,792.87
| Professional | | $485.61 | $957.00 | $3,792.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $705.17 / $857.91 / $1,074.51
| Facility | | $705.17 | $857.91 | $1,074.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $772.18 / $928.60 / $1,274.09
| Facility | | $772.18 | $928.60 | $1,274.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $681.64 / $1,129.39 / $1,961.95
| Professional | | $681.64 | $1,129.39 | $1,961.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $649.35 / $1,104.23 / $8,090.00
| Facility | | $649.35 | $1,104.23 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $400.19 / $717.75 / $1,175.65
| Professional | | $400.19 | $717.75 | $1,175.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $759.81 / $1,437.64 / $1,892.38
| Professional | | $759.81 | $1,437.64 | $1,892.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,285.70 / $1,285.70 / $3,212.90
| Facility | | $1,285.70 | $1,285.70 | $3,212.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $529.96 / $945.27 / $3,792.87
| Professional | | $529.96 | $945.27 | $3,792.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.06 / $749.76 / $2,005.32
| Facility | | $714.06 | $749.76 | $2,005.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $509.89 / $851.40 / $1,847.23
| Professional | | $509.89 | $851.40 | $1,847.23 |