- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $536.00 / $2,266.00 / $7,629.00
| Facility | | $536.00 | $2,266.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.51 / $165.46 / $452.26
| Professional | | $105.51 | $165.46 | $452.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $279.11 / $328.37 / $538.36
| Professional | | $279.11 | $328.37 | $538.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.30 / $191.30 / $191.30
| Facility | | $191.30 | $191.30 | $191.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $172.71 / $189.81 / $796.70
| Professional | | $172.71 | $189.81 | $796.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $190.86 / $269.22 / $329.67
| Professional | | $190.86 | $269.22 | $329.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $540.00 / $2,070.00 / $8,017.00
| Facility | | $540.00 | $2,070.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.51 / $240.97 / $1,023.00
| Professional | | $105.51 | $240.97 | $1,023.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.30 / $191.30 / $191.30
| Facility | | $191.30 | $191.30 | $191.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $172.71 / $189.81 / $796.70
| Professional | | $172.71 | $189.81 | $796.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228.98 / $228.98 / $264.31
| Facility | | $228.98 | $228.98 | $264.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.36 / $233.56 / $264.31
| Professional | | $150.36 | $233.56 | $264.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $650.00 / $3,742.00
| Facility | | $162.00 | $650.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $232.95 / $348.54 / $597.42
| Professional | | $232.95 | $348.54 | $597.42 |