- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $188.03 / $1,699.00 / $3,063.25
| Facility | | $188.03 | $1,699.00 | $3,063.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.67 / $188.03 / $506.80
| Professional | | $75.67 | $188.03 | $506.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.47 / $1,251.81 / $4,689.00
| Facility | | $227.47 | $1,251.81 | $4,689.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.31 / $363.20 / $896.63
| Professional | | $107.31 | $363.20 | $896.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.33 / $143.43 / $281.33
| Facility | | $110.33 | $143.43 | $281.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.05 / $110.12 / $582.19
| Professional | | $55.05 | $110.12 | $582.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $172.41 / $397.97 / $752.45
| Professional | | $172.41 | $397.97 | $752.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.22 / $201.18 / $8,090.00
| Facility | | $95.22 | $201.18 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $277.43 / $350.57 / $626.79
| Professional | | $277.43 | $350.57 | $626.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $121.75 / $293.68 / $650.50
| Professional | | $121.75 | $293.68 | $650.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $280.17 / $2,332.58 / $3,441.50
| Facility | | $280.17 | $2,332.58 | $3,441.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $184.97 / $277.52 / $301.88
| Professional | | $184.97 | $277.52 | $301.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,376.00 / $8,498.00
| Facility | | $55.00 | $2,376.00 | $8,498.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $291.77 / $541.29 / $1,731.84
| Professional | | $291.77 | $541.29 | $1,731.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,640.00 / $3,372.00 / $8,425.00
| Facility | | $1,640.00 | $3,372.00 | $8,425.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $287.38 / $395.63 / $839.15
| Professional | | $287.38 | $395.63 | $839.15 |