- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.06 / $985.02 / $11,454.60
| Facility | | $224.06 | $985.02 | $11,454.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $224.06 / $294.80 / $985.02
| Professional | | $224.06 | $294.80 | $985.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,060.00 / $7,344.00 / $10,517.23
| Facility | | $5,060.00 | $7,344.00 | $10,517.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $320.82 / $671.85 / $1,433.50
| Professional | | $320.82 | $671.85 | $1,433.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $863.27 / $1,008.80 / $1,547.53
| Facility | | $863.27 | $1,008.80 | $1,547.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $274.76 / $520.02 / $898.74
| Professional | | $274.76 | $520.02 | $898.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.99 / $405.12 / $902.22
| Facility | | $264.99 | $405.12 | $902.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $277.35 / $601.48 / $7,318.09
| Facility | | $277.35 | $601.48 | $7,318.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $319.08 / $637.60 / $1,990.64
| Professional | | $319.08 | $637.60 | $1,990.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.80 / $226.19 / $656.11
| Professional | | $26.80 | $226.19 | $656.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.99 / $405.12 / $902.22
| Facility | | $264.99 | $405.12 | $902.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $578.29 / $784.86 / $1,094.50
| Professional | | $578.29 | $784.86 | $1,094.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $518.29 / $692.70 / $1,883.88
| Facility | | $518.29 | $692.70 | $1,883.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $318.64 / $1,311.85 / $2,439.92
| Professional | | $318.64 | $1,311.85 | $2,439.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $495.93 / $1,135.76 / $1,401.17
| Professional | | $495.93 | $1,135.76 | $1,401.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,918.00 / $6,477.00 / $8,384.00
| Facility | | $4,918.00 | $6,477.00 | $8,384.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $280.60 / $499.43 / $1,223.45
| Professional | | $280.60 | $499.43 | $1,223.45 |