- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,068.00 / $3,748.00 / $8,017.00
| Facility | | $1,068.00 | $3,748.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $409.05 / $456.81 / $661.14
| Professional | | $409.05 | $456.81 | $661.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,296.00
| Facility | | $13,531.00 | $27,840.00 | $46,296.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $452.13 / $469.19 / $809.38
| Professional | | $452.13 | $469.19 | $809.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $511.90 / $511.90 / $511.90
| Facility | | $511.90 | $511.90 | $511.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $437.09 / $554.50 / $921.43
| Professional | | $437.09 | $554.50 | $921.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $536.28 / $732.80 / $926.31
| Professional | | $536.28 | $732.80 | $926.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,068.00 / $4,262.00 / $8,451.00
| Facility | | $1,068.00 | $4,262.00 | $8,451.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $409.05 / $497.06 / $2,660.00
| Professional | | $409.05 | $497.06 | $2,660.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $601.40 / $601.40 / $928.50
| Professional | | $601.40 | $601.40 | $928.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $511.90 / $511.90 / $511.90
| Facility | | $511.90 | $511.90 | $511.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $437.09 / $565.66 / $933.18
| Professional | | $437.09 | $565.66 | $933.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $441.43 / $441.43 / $489.74
| Facility | | $441.43 | $441.43 | $489.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $426.21 / $445.24 / $489.74
| Professional | | $426.21 | $445.24 | $489.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $3,879.00 / $7,508.00
| Facility | | $2,332.00 | $3,879.00 | $7,508.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $421.28 / $548.91 / $857.05
| Professional | | $421.28 | $548.91 | $857.05 |