- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.63 / $1,048.13 / $3,103.52
| Facility | | $150.63 | $1,048.13 | $3,103.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.65 / $257.60 / $907.05
| Professional | | $58.65 | $257.60 | $907.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.01 / $502.00 / $2,733.00
| Facility | | $169.01 | $502.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.25 / $690.06 / $1,753.99
| Professional | | $84.25 | $690.06 | $1,753.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.59 / $112.57 / $220.80
| Facility | | $86.59 | $112.57 | $220.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $172.83 / $172.83 / $900.97
| Professional | | $172.83 | $172.83 | $900.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.77 / $550.12 / $1,400.54
| Professional | | $133.77 | $550.12 | $1,400.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $300.00 / $6,679.00
| Facility | | $83.43 | $300.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $423.98 / $535.75 / $957.88
| Professional | | $423.98 | $535.75 | $957.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.72 / $310.05 / $986.21
| Professional | | $95.72 | $310.05 | $986.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $369.40 / $2,210.81 / $3,400.52
| Facility | | $369.40 | $2,210.81 | $3,400.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.09 / $234.15 / $960.09
| Professional | | $146.09 | $234.15 | $960.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,078.00 / $3,445.00
| Facility | | $55.00 | $1,078.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $581.78 / $1,050.83 / $2,606.64
| Professional | | $581.78 | $1,050.83 | $2,606.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $575.04 / $809.31 / $1,426.41
| Professional | | $575.04 | $809.31 | $1,426.41 |