- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $872.41 / $5,882.86 / $11,024.00
| Facility | | $872.41 | $5,882.86 | $11,024.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $418.58 / $490.12 / $847.71
| Professional | | $418.58 | $490.12 | $847.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,032.00 / $6,548.00 / $7,221.00
| Facility | | $5,032.00 | $6,548.00 | $7,221.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $435.33 / $567.23 / $780.46
| Professional | | $435.33 | $567.23 | $780.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $499.56 / $516.34 / $5,036.00
| Professional | | $499.56 | $516.34 | $5,036.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $542.73 / $542.73 / $542.73
| Facility | | $542.73 | $542.73 | $542.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $461.99 / $591.04 / $956.04
| Professional | | $461.99 | $591.04 | $956.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $505.00 / $559.03 / $665.51
| Professional | | $505.00 | $559.03 | $665.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.54 / $543.05 / $735.18
| Facility | | $426.54 | $543.05 | $735.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $620.00 / $765.61 / $1,124.85
| Professional | | $620.00 | $765.61 | $1,124.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $494.19 / $667.16 / $7,030.19
| Facility | | $494.19 | $667.16 | $7,030.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $494.19 / $667.16 / $7,030.19
| Professional | | $494.19 | $667.16 | $7,030.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $9,270.00 / $17,192.00
| Facility | | $6,303.00 | $9,270.00 | $17,192.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $395.40 / $532.29 / $892.12
| Professional | | $395.40 | $532.29 | $892.12 |