- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $4,019.27 / $7,629.00
| Facility | | $832.00 | $4,019.27 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $464.60 / $688.96 / $860.90
| Professional | | $464.60 | $688.96 | $860.90 |
- 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
- $808.01 / $838.50 / $838.50
| Professional | | $808.01 | $838.50 | $838.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $678.00 / $678.00 / $678.00
| Facility | | $678.00 | $678.00 | $678.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $886.96 / $886.96 / $1,143.75
| Professional | | $886.96 | $886.96 | $1,143.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,729.76 / $14,729.76 / $14,729.76
| Facility | | $14,729.76 | $14,729.76 | $14,729.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $469.91 / $714.67 / $795.19
| Professional | | $469.91 | $714.67 | $795.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.00 / $4,019.27 / $8,017.00
| Facility | | $954.00 | $4,019.27 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $464.60 / $737.59 / $2,843.00
| Professional | | $464.60 | $737.59 | $2,843.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $678.00 / $678.00 / $678.00
| Facility | | $678.00 | $678.00 | $678.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $790.07 / $790.07 / $838.50
| Facility | | $790.07 | $790.07 | $838.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $784.55 / $835.87 / $923.38
| Professional | | $784.55 | $835.87 | $923.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,228.00 / $3,879.00 / $7,508.00
| Facility | | $2,228.00 | $3,879.00 | $7,508.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $707.37 / $878.98 / $1,462.73
| Professional | | $707.37 | $878.98 | $1,462.73 |