- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $882.00 / $2,747.00 / $8,017.00
| Facility | | $882.00 | $2,747.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.11 / $233.36 / $1,684.90
| Professional | | $45.11 | $233.36 | $1,684.90 |
- 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
- $4,883.10 / $5,747.86 / $5,964.76
| Professional | | $4,883.10 | $5,747.86 | $5,964.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.19 / $78.11 / $4,471.51
| Professional | | $65.19 | $78.11 | $4,471.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7,155.45 / $9,199.86 / $9,495.36
| Professional | | $7,155.45 | $9,199.86 | $9,495.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,806.29 / $2,806.29 / $2,959.50
| Professional | | $2,806.29 | $2,806.29 | $2,959.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $934.00 / $3,120.00 / $8,017.00
| Facility | | $934.00 | $3,120.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.11 / $268.36 / $7,197.00
| Professional | | $45.11 | $268.36 | $7,197.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.73 / $96.73 / $96.73
| Facility | | $96.73 | $96.73 | $96.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.19 / $263.51 / $4,471.51
| Professional | | $65.19 | $263.51 | $4,471.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.01 / $62.68 / $2,981.14
| Facility | | $55.01 | $62.68 | $2,981.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.01 / $1,982.23 / $3,278.08
| Professional | | $55.01 | $1,982.23 | $3,278.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $674.00 / $4,300.00
| Facility | | $144.00 | $674.00 | $4,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,735.03 / $2,283.44 / $4,077.13
| Professional | | $1,735.03 | $2,283.44 | $4,077.13 |