- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $273.00 / $1,473.20 / $8,272.00
| Facility | | $273.00 | $1,473.20 | $8,272.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.72 / $341.18 / $597.95
| Professional | | $138.72 | $341.18 | $597.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $347.03 / $2,376.00 / $8,498.00
| Facility | | $347.03 | $2,376.00 | $8,498.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $191.32 / $579.03 / $2,876.35
| Professional | | $191.32 | $579.03 | $2,876.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.86 / $224.70 / $445.89
| Facility | | $174.86 | $224.70 | $445.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.62 / $446.80 / $793.20
| Professional | | $251.62 | $446.80 | $793.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $194.73 / $418.58 / $940.64
| Professional | | $194.73 | $418.58 | $940.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.69 / $318.83 / $6,679.00
| Facility | | $149.69 | $318.83 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $407.44 / $497.10 / $694.21
| Professional | | $407.44 | $497.10 | $694.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $199.14 / $429.67 / $1,019.60
| Professional | | $199.14 | $429.67 | $1,019.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,036.57 / $1,882.08 / $3,216.00
| Facility | | $1,036.57 | $1,882.08 | $3,216.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $235.34 / $442.69 / $614.39
| Professional | | $235.34 | $442.69 | $614.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $747.37 / $3,372.00 / $12,000.00
| Facility | | $747.37 | $3,372.00 | $12,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $440.50 / $824.24 / $2,876.35
| Professional | | $440.50 | $824.24 | $2,876.35 |
- 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
- $418.22 / $640.85 / $1,096.01
| Professional | | $418.22 | $640.85 | $1,096.01 |