- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,516.00 / $5,845.00 / $10,686.00
| Facility | | $1,516.00 | $5,845.00 | $10,686.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $230.54 / $367.05 / $412.03
| Professional | | $230.54 | $367.05 | $412.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,691.00 / $3,333.00 / $4,636.00
| Facility | | $1,691.00 | $3,333.00 | $4,636.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $280.91 / $331.40 / $625.08
| Professional | | $280.91 | $331.40 | $625.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,499.62 / $37,499.62 / $37,499.62
| Facility | | $37,499.62 | $37,499.62 | $37,499.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $362.78 / $362.78 / $362.78
| Facility | | $362.78 | $362.78 | $362.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $302.77 / $1,509.19 / $1,509.19
| Professional | | $302.77 | $1,509.19 | $1,509.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.73 / $398.22 / $643.20
| Professional | | $297.73 | $398.22 | $643.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $362.78 / $362.78 / $74,999.25
| Facility | | $362.78 | $362.78 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $302.77 / $1,509.19 / $1,509.19
| Professional | | $302.77 | $1,509.19 | $1,509.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,749.00 / $4,194.00 / $9,300.00
| Facility | | $1,749.00 | $4,194.00 | $9,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $294.27 / $428.31 / $1,081.18
| Professional | | $294.27 | $428.31 | $1,081.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $306.60 / $306.60 / $320.19
| Facility | | $306.60 | $306.60 | $320.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $306.60 / $320.19 / $643.20
| Professional | | $306.60 | $320.19 | $643.20 |