- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,578.48 / $8,982.91 / $24,693.30
| Facility | | $2,578.48 | $8,982.91 | $24,693.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,873.70 / $2,853.53 / $2,922.29
| Professional | | $1,873.70 | $2,853.53 | $2,922.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.00 / $614.00 / $17,224.28
| Facility | | $244.00 | $614.00 | $17,224.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $325.33 / $390.39 / $5,260.10
| Professional | | $325.33 | $390.39 | $5,260.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.20 / $5,294.49 / $9,454.44
| Facility | | $98.20 | $5,294.49 | $9,454.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,564.28 / $2,234.69 / $5,587.84
| Professional | | $1,564.28 | $2,234.69 | $5,587.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,268.21 / $4,840.34 / $8,715.29
| Facility | | $2,268.21 | $4,840.34 | $8,715.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,437.98 / $3,781.78 / $4,641.27
| Professional | | $3,437.98 | $3,781.78 | $4,641.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,094.18 / $3,953.68 / $6,566.54
| Professional | | $3,094.18 | $3,953.68 | $6,566.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,982.09 / $16,330.41 / $16,330.41
| Facility | | $5,982.09 | $16,330.41 | $16,330.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17,121.14 / $17,121.14 / $25,784.85
| Professional | | $17,121.14 | $17,121.14 | $25,784.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,750.38 / $4,125.58 / $7,658.12
| Facility | | $2,750.38 | $4,125.58 | $7,658.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,437.98 / $3,781.78 / $5,156.97
| Professional | | $3,437.98 | $3,781.78 | $5,156.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,750.38 / $3,506.74 / $5,844.57
| Professional | | $2,750.38 | $3,506.74 | $5,844.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,443.95 / $1,443.95 / $6,900.03
| Professional | | $1,443.95 | $1,443.95 | $6,900.03 |