- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $821.00 / $2,663.12 / $4,806.46
| Facility | | $821.00 | $2,663.12 | $4,806.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $283.13 / $428.95 / $1,099.43
| Professional | | $283.13 | $428.95 | $1,099.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $734.91 / $2,376.00 / $8,498.00
| Facility | | $734.91 | $2,376.00 | $8,498.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $343.55 / $705.48 / $3,106.64
| Professional | | $343.55 | $705.48 | $3,106.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $369.57 / $474.90 / $847.79
| Facility | | $369.57 | $474.90 | $847.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $343.81 / $617.77 / $941.52
| Professional | | $343.81 | $617.77 | $941.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $382.68 / $645.80 / $1,188.86
| Professional | | $382.68 | $645.80 | $1,188.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $310.70 / $673.88 / $6,679.00
| Facility | | $310.70 | $673.88 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $500.29 / $609.78 / $841.74
| Professional | | $500.29 | $609.78 | $841.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $401.51 / $848.00 / $1,252.53
| Professional | | $401.51 | $848.00 | $1,252.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,034.68 / $2,793.01 / $3,341.25
| Facility | | $1,034.68 | $2,793.01 | $3,341.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $456.00 / $851.00 / $914.34
| Professional | | $456.00 | $851.00 | $914.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,640.00 / $3,372.00 / $16,394.00
| Facility | | $1,640.00 | $3,372.00 | $16,394.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $460.86 / $930.03 / $3,106.64
| Professional | | $460.86 | $930.03 | $3,106.64 |
- 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
- $424.28 / $667.94 / $1,309.55
| Professional | | $424.28 | $667.94 | $1,309.55 |