- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.13 / $338.84 / $1,148.15
| Facility | | $331.13 | $338.84 | $1,148.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.84 / $331.13 / $537.03
| Professional | | $281.84 | $331.13 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $309.03 / $501.19 / $1,122.02
| Professional | | $309.03 | $501.19 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $831.76 / $977.24 / $1,548.82
| Facility | | $831.76 | $977.24 | $1,548.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $741.31 / $1,122.02
| Professional | | $338.84 | $741.31 | $1,122.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $354.81 / $616.60
| Facility | | $295.12 | $354.81 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $549.54 / $660.69 / $891.25
| Professional | | $549.54 | $660.69 | $891.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $354.81 / $630.96
| Facility | | $295.12 | $354.81 | $630.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.54 / $776.25 / $7,585.78
| Professional | | $371.54 | $776.25 | $7,585.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $70.79
| Professional | | $32.36 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.58 / $707.95 / $1,071.52
| Professional | | $426.58 | $707.95 | $1,071.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $724.44 / $1,995.26
| Facility | | $724.44 | $724.44 | $1,995.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $1,023.29 / $7,585.78
| Professional | | $338.84 | $1,023.29 | $7,585.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $630.96 / $1,584.89 / $1,778.28
| Professional | | $630.96 | $1,584.89 | $1,778.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.84 / $549.54 / $1,148.15
| Professional | | $338.84 | $549.54 | $1,148.15 |