- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $274.02 / $517.04 / $51,902.62
| Facility | | $274.02 | $517.04 | $51,902.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.63 / $258.64 / $312.81
| Professional | | $258.63 | $258.64 | $312.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $284.50 / $454.12 / $827.65
| Facility | | $284.50 | $454.12 | $827.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.64 / $258.64 / $258.64
| Professional | | $258.64 | $258.64 | $258.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.00 / $244.00 / $343.65
| Facility | | $244.00 | $244.00 | $343.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.64 / $258.64 / $258.64
| Professional | | $258.64 | $258.64 | $258.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $250.90 / $274.16 / $424.95
| Facility | | $250.90 | $274.16 | $424.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.92 / $284.50 / $387.96
| Professional | | $281.92 | $284.50 | $387.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $258.64 / $258.64 / $274.16
| Professional | | $258.64 | $258.64 | $274.16 |