- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.66 / $717.11 / $1,007.72
| Facility | | $550.66 | $717.11 | $1,007.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.46 / $667.75 / $893.80
| Professional | | $29.46 | $667.75 | $893.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,639.91 / $79,506.39
| Facility | | $8,459.92 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $813.20 / $843.89 / $1,369.88
| Professional | | $813.20 | $843.89 | $1,369.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.61 / $46.61 / $46.61
| Facility | | $46.61 | $46.61 | $46.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $759.74 / $759.74 / $759.74
| Professional | | $759.74 | $759.74 | $759.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.06 / $76.06 / $76.06
| Facility | | $76.06 | $76.06 | $76.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,003.59 / $1,298.31 / $1,711.87
| Professional | | $1,003.59 | $1,298.31 | $1,711.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.17 / $900.44 / $932.01
| Professional | | $38.17 | $900.44 | $932.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.66 / $717.11 / $1,007.72
| Facility | | $550.66 | $717.11 | $1,007.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.84 / $697.56 / $994.19
| Professional | | $29.84 | $697.56 | $994.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.46 / $869.20 / $1,738.40
| Professional | | $35.46 | $869.20 | $1,738.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.61 / $46.61 / $46.61
| Facility | | $46.61 | $46.61 | $46.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $759.74 / $759.74 / $759.74
| Professional | | $759.74 | $759.74 | $759.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.65 / $777.40 / $784.26
| Facility | | $27.65 | $777.40 | $784.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.36 / $760.86 / $853.65
| Professional | | $33.36 | $760.86 | $853.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $643.44 / $828.15 / $1,345.93
| Professional | | $643.44 | $828.15 | $1,345.93 |