- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $156.19 / $1,473.20 / $3,363.00
| Facility | | $156.19 | $1,473.20 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.93 / $156.19 / $392.13
| Professional | | $68.93 | $156.19 | $392.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $159.10 / $627.00 / $2,733.00
| Facility | | $159.10 | $627.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.62 / $313.69 / $2,613.80
| Professional | | $86.62 | $313.69 | $2,613.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.15 / $104.25 / $188.45
| Facility | | $82.15 | $104.25 | $188.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.11 / $137.34 / $416.50
| Professional | | $59.11 | $137.34 | $416.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.55 / $213.40 / $481.44
| Professional | | $92.55 | $213.40 | $481.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.20 / $149.78 / $8,090.00
| Facility | | $72.20 | $149.78 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $220.24 / $285.62 / $431.39
| Professional | | $220.24 | $285.62 | $431.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $101.74 / $233.06 / $530.99
| Professional | | $101.74 | $233.06 | $530.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $407.83 / $407.83 / $407.83
| Facility | | $407.83 | $407.83 | $407.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $243.00 / $243.00 / $243.00
| Professional | | $243.00 | $243.00 | $243.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.00 / $953.00 / $2,796.00
| Facility | | $308.00 | $953.00 | $2,796.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $205.19 / $525.62 / $2,613.80
| Professional | | $205.19 | $525.62 | $2,613.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $189.47 / $313.69 / $668.83
| Professional | | $189.47 | $313.69 | $668.83 |