- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,930.99 / $6,727.15 / $18,492.40
| Facility | | $1,930.99 | $6,727.15 | $18,492.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,403.18 / $2,136.96 / $2,188.44
| Professional | | $1,403.18 | $2,136.96 | $2,188.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.00 / $614.00 / $12,899.00
| Facility | | $244.00 | $614.00 | $12,899.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.20 / $39.84 / $4,222.42
| Professional | | $33.20 | $39.84 | $4,222.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.40 / $3,398.54 / $23,094.61
| Facility | | $59.40 | $3,398.54 | $23,094.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,171.46 / $1,673.52 / $4,184.64
| Professional | | $1,171.46 | $1,673.52 | $4,184.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.62 / $3,313.57 / $6,509.99
| Facility | | $1,698.62 | $3,313.57 | $6,509.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,574.65 / $2,832.12 / $3,475.78
| Professional | | $2,574.65 | $2,832.12 | $3,475.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,317.19 / $2,960.85 / $5,612.74
| Professional | | $2,317.19 | $2,960.85 | $5,612.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,479.89 / $12,229.59 / $12,229.59
| Facility | | $4,479.89 | $12,229.59 | $12,229.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12,821.76 / $12,821.76 / $19,309.88
| Professional | | $12,821.76 | $12,821.76 | $19,309.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,059.71 / $3,089.58 / $5,745.36
| Facility | | $2,059.71 | $3,089.58 | $5,745.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,574.65 / $2,832.12 / $3,861.98
| Professional | | $2,574.65 | $2,832.12 | $3,861.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,081.34 / $1,158.58 / $7,055.83
| Professional | | $1,081.34 | $1,158.58 | $7,055.83 |