- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $130.88 / $1,588.30 / $6,432.00
| Facility | | $130.88 | $1,588.30 | $6,432.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.00 / $207.45 / $590.53
| Professional | | $124.00 | $207.45 | $590.53 |
- 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
- $139.85 / $145.12 / $239.26
| Professional | | $139.85 | $145.12 | $239.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.14 / $177.85 / $331.19
| Professional | | $102.14 | $177.85 | $331.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $167.41 / $215.24 / $222.67
| Professional | | $167.41 | $215.24 | $222.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,046.00 / $1,540.38 / $3,816.95
| Facility | | $1,046.00 | $1,540.38 | $3,816.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $490.71 / $1,901.00 / $7,175.00
| Facility | | $490.71 | $1,901.00 | $7,175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $122.87 / $214.91 / $723.00
| Professional | | $122.87 | $214.91 | $723.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $247.90 / $247.90 / $259.39
| Professional | | $247.90 | $247.90 | $259.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.53 / $176.53 / $176.53
| Facility | | $176.53 | $176.53 | $176.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.31 / $177.85 / $352.43
| Professional | | $102.31 | $177.85 | $352.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.41 / $138.71 / $210.65
| Facility | | $101.41 | $138.71 | $210.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.41 / $138.71 / $176.36
| Professional | | $101.41 | $138.71 | $176.36 |
- 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
- $130.44 / $188.62 / $286.16
| Professional | | $130.44 | $188.62 | $286.16 |