- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $4,048.00 / $8,451.00
| Facility | | $1,020.00 | $4,048.00 | $8,451.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $436.25 / $497.22 / $726.35
| Professional | | $436.25 | $497.22 | $726.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.95 / $7,827.00 / $19,139.18
| Facility | | $6,431.95 | $7,827.00 | $19,139.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $496.73 / $515.47 / $688.26
| Professional | | $496.73 | $515.47 | $688.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.83 / $559.83 / $559.83
| Facility | | $559.83 | $559.83 | $559.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $471.75 / $629.67 / $1,070.66
| Professional | | $471.75 | $629.67 | $1,070.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $580.66 / $769.57 / $1,002.97
| Professional | | $580.66 | $769.57 | $1,002.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,151.00 / $4,993.00 / $10,247.00
| Facility | | $1,151.00 | $4,993.00 | $10,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $446.65 / $611.64 / $2,723.36
| Professional | | $446.65 | $611.64 | $2,723.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $594.50 / $594.50 / $1,129.90
| Professional | | $594.50 | $594.50 | $1,129.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.83 / $559.83 / $559.83
| Facility | | $559.83 | $559.83 | $559.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $471.75 / $632.62 / $1,092.16
| Professional | | $471.75 | $632.62 | $1,092.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $476.10 / $476.10 / $614.91
| Facility | | $476.10 | $476.10 | $614.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $464.83 / $476.10 / $614.91
| Professional | | $464.83 | $476.10 | $614.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $480.90 / $638.34 / $1,026.07
| Professional | | $480.90 | $638.34 | $1,026.07 |