- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,013.00 / $4,051.00 / $8,247.00
| Facility | | $1,013.00 | $4,051.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $501.60 / $544.71 / $822.99
| Professional | | $501.60 | $544.71 | $822.99 |
- 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
- $562.82 / $591.37 / $975.20
| Professional | | $562.82 | $591.37 | $975.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $637.95 / $637.95 / $637.95
| Facility | | $637.95 | $637.95 | $637.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $482.15 / $654.63 / $1,098.22
| Professional | | $482.15 | $654.63 | $1,098.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $668.23 / $905.03 / $1,154.21
| Professional | | $668.23 | $905.03 | $1,154.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $567.97 / $567.97 / $624.77
| Professional | | $567.97 | $567.97 | $624.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $4,761.00 / $8,427.00
| Facility | | $1,020.00 | $4,761.00 | $8,427.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $501.60 / $597.60 / $2,907.47
| Professional | | $501.60 | $597.60 | $2,907.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $668.40 / $668.40 / $1,146.59
| Professional | | $668.40 | $668.40 | $1,146.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $637.95 / $637.95 / $637.95
| Facility | | $637.95 | $637.95 | $637.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $486.83 / $669.93 / $1,105.23
| Professional | | $486.83 | $669.93 | $1,105.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $546.64 / $546.64 / $565.57
| Facility | | $546.64 | $546.64 | $565.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $530.69 / $548.42 / $581.27
| Professional | | $530.69 | $548.42 | $581.27 |
- 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
- $484.48 / $640.63 / $1,099.85
| Professional | | $484.48 | $640.63 | $1,099.85 |