- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $934.00 / $2,747.00 / $8,427.00
| Facility | | $934.00 | $2,747.00 | $8,427.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $456.96 / $511.09 / $750.70
| Professional | | $456.96 | $511.09 | $750.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.35 / $6,182.00 / $17,094.48
| Facility | | $5,058.35 | $6,182.00 | $17,094.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $513.80 / $537.05 / $912.37
| Professional | | $513.80 | $537.05 | $912.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $583.27 / $583.27 / $583.27
| Facility | | $583.27 | $583.27 | $583.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $460.81 / $609.03 / $1,031.41
| Professional | | $460.81 | $609.03 | $1,031.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $611.17 / $826.98 / $1,055.68
| Professional | | $611.17 | $826.98 | $1,055.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.00 / $3,120.00 / $8,427.00
| Facility | | $954.00 | $3,120.00 | $8,427.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $466.22 / $562.50 / $2,605.00
| Professional | | $466.22 | $562.50 | $2,605.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $650.79 / $650.79 / $1,048.30
| Professional | | $650.79 | $650.79 | $1,048.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $583.27 / $583.27 / $583.27
| Facility | | $583.27 | $583.27 | $583.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $460.99 / $627.24 / $1,033.66
| Professional | | $460.99 | $627.24 | $1,033.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $498.57 / $498.57 / $592.84
| Facility | | $498.57 | $498.57 | $592.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $484.60 / $499.59 / $592.84
| Professional | | $484.60 | $499.59 | $592.84 |
- 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
- $444.81 / $609.29 / $1,011.68
| Professional | | $444.81 | $609.29 | $1,011.68 |