- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.39 / $2,070.00 / $7,197.00
| Facility | | $419.39 | $2,070.00 | $7,197.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $328.36 / $381.32 / $524.61
| Professional | | $328.36 | $381.32 | $524.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,344.69 / $3,159.00 / $14,886.03
| Facility | | $2,344.69 | $3,159.00 | $14,886.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $408.96 / $424.39 / $694.48
| Professional | | $408.96 | $424.39 | $694.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $628.65 / $628.65 / $628.65
| Facility | | $628.65 | $628.65 | $628.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $314.16 / $437.44 / $736.86
| Professional | | $314.16 | $437.44 | $736.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $491.15 / $662.82 / $848.35
| Professional | | $491.15 | $662.82 | $848.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $238.76 / $238.76 / $238.76
| Professional | | $238.76 | $238.76 | $238.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,266.00 / $8,017.00
| Facility | | $617.00 | $2,266.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $332.43 / $400.37 / $1,541.00
| Professional | | $332.43 | $400.37 | $1,541.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $381.60 / $381.60 / $835.80
| Professional | | $381.60 | $381.60 | $835.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $628.65 / $628.65 / $628.65
| Facility | | $628.65 | $628.65 | $628.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $327.90 / $444.63 / $745.06
| Professional | | $327.90 | $444.63 | $745.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $286.77 / $360.13 / $393.46
| Facility | | $286.77 | $360.13 | $393.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $351.43 / $385.51 / $421.71
| Professional | | $351.43 | $385.51 | $421.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $650.00 / $3,742.00
| Facility | | $162.00 | $650.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $323.64 / $434.49 / $715.91
| Professional | | $323.64 | $434.49 | $715.91 |