- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $988.00 / $10,596.56 / $22,024.00
| Facility | | $988.00 | $10,596.56 | $22,024.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.02 / $51.18 / $582.07
| Professional | | $31.02 | $51.18 | $582.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,816.01 / $24,075.80 / $46,054.28
| Facility | | $15,816.01 | $24,075.80 | $46,054.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $332.64 / $829.92 / $3,306.23
| Professional | | $332.64 | $829.92 | $3,306.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,574.09 / $16,574.09 / $16,574.09
| Facility | | $16,574.09 | $16,574.09 | $16,574.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,332.37 / $14,534.94 / $38,471.14
| Facility | | $8,332.37 | $14,534.94 | $38,471.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,159.25 / $10,477.90 / $19,940.55
| Professional | | $1,159.25 | $10,477.90 | $19,940.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Professional | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $622.33 / $8,445.44 / $11,665.06
| Facility | | $622.33 | $8,445.44 | $11,665.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.59 / $66.59 / $517.78
| Facility | | $66.59 | $66.59 | $517.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $517.78 / $773.52 / $1,027.74
| Professional | | $517.78 | $773.52 | $1,027.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,567.73 / $24,075.80 / $46,054.28
| Facility | | $17,567.73 | $24,075.80 | $46,054.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $332.64 / $726.93 / $1,003.27
| Professional | | $332.64 | $726.93 | $1,003.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,340.00 / $13,441.00 / $26,100.00
| Facility | | $3,340.00 | $13,441.00 | $26,100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.69 / $94.89 / $983.72
| Professional | | $65.69 | $94.89 | $983.72 |