- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $355.34 / $10,596.56 / $22,024.00
| Facility | | $355.34 | $10,596.56 | $22,024.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $206.65 / $355.34 / $562.57
| Professional | | $206.65 | $355.34 | $562.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,816.01 / $30,261.00 / $57,885.88
| Facility | | $15,816.01 | $30,261.00 | $57,885.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $479.06 / $803.61 / $3,195.00
| Professional | | $479.06 | $803.61 | $3,195.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,332.37 / $15,066.56 / $38,471.14
| Facility | | $8,332.37 | $15,066.56 | $38,471.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,120.32 / $9,982.19 / $20,087.08
| Professional | | $1,120.32 | $9,982.19 | $20,087.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.00 / $50.00 / $50.00
| Professional | | $45.00 | $50.00 | $50.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.92 / $7,731.34 / $12,793.18
| Facility | | $600.92 | $7,731.34 | $12,793.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $459.34 / $459.34 / $500.42
| Facility | | $459.34 | $459.34 | $500.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $500.42 / $775.37 / $993.27
| Professional | | $500.42 | $775.37 | $993.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,622.90 / $29,589.51 / $57,885.88
| Facility | | $19,622.90 | $29,589.51 | $57,885.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $468.47 / $702.55 / $969.62
| Professional | | $468.47 | $702.55 | $969.62 |
- 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
- $395.64 / $565.19 / $957.30
| Professional | | $395.64 | $565.19 | $957.30 |