- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $326.73 / $6,537.00 / $18,483.00
| Facility | | $326.73 | $6,537.00 | $18,483.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $296.66 / $355.56 / $1,326.02
| Professional | | $296.66 | $355.56 | $1,326.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,759.00 / $4,464.00 / $8,976.00
| Facility | | $1,759.00 | $4,464.00 | $8,976.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $326.39 / $461.00 / $927.59
| Professional | | $326.39 | $461.00 | $927.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.00 / $100.00 / $1,581.82
| Facility | | $66.00 | $100.00 | $1,581.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $260.74 / $363.09 / $820.10
| Professional | | $260.74 | $363.09 | $820.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.00 / $253.20 / $453.49
| Facility | | $56.00 | $253.20 | $453.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $334.62 / $454.36 / $964.94
| Professional | | $334.62 | $454.36 | $964.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $207.00 / $482.41 / $651.25
| Professional | | $207.00 | $482.41 | $651.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $404.16 / $552.94 / $949.06
| Professional | | $404.16 | $552.94 | $949.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,854.52 / $2,049.10
| Facility | | $55.00 | $1,854.52 | $2,049.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,863.36 / $3,199.68 / $3,738.23
| Professional | | $2,863.36 | $3,199.68 | $3,738.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $333.12 / $517.66 / $706.15
| Facility | | $333.12 | $517.66 | $706.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $342.36 / $478.52 / $1,034.17
| Professional | | $342.36 | $478.52 | $1,034.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,133.94 / $1,133.94 / $1,257.76
| Professional | | $1,133.94 | $1,133.94 | $1,257.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $231.84 / $420.28 / $595.42
| Professional | | $231.84 | $420.28 | $595.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $548.00 / $1,533.00 / $6,323.00
| Facility | | $548.00 | $1,533.00 | $6,323.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.00 / $385.00 / $950.63
| Professional | | $297.00 | $385.00 | $950.63 |