- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $4,048.00 / $8,451.00
| Facility | | $1,020.00 | $4,048.00 | $8,451.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $601.29 / $667.99 / $982.63
| Professional | | $601.29 | $667.99 | $982.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,296.00
| Facility | | $13,531.00 | $27,840.00 | $46,296.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $673.02 / $698.41 / $1,221.23
| Professional | | $673.02 | $698.41 | $1,221.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $760.33 / $760.33 / $760.33
| Facility | | $760.33 | $760.33 | $760.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $609.10 / $806.35 / $1,334.81
| Professional | | $609.10 | $806.35 | $1,334.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $795.42 / $1,078.27 / $1,373.91
| Professional | | $795.42 | $1,078.27 | $1,373.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,054.00 / $4,993.00 / $10,247.00
| Facility | | $1,054.00 | $4,993.00 | $10,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $601.29 / $727.12 / $3,301.85
| Professional | | $601.29 | $727.12 | $3,301.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $663.40 / $663.40 / $1,367.40
| Professional | | $663.40 | $663.40 | $1,367.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $760.33 / $760.33 / $760.33
| Facility | | $760.33 | $760.33 | $760.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $609.10 / $825.40 / $1,349.77
| Professional | | $609.10 | $825.40 | $1,349.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $654.41 / $654.41 / $674.98
| Facility | | $654.41 | $654.41 | $674.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $633.69 / $658.27 / $693.42
| Professional | | $633.69 | $658.27 | $693.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $4,563.00 / $9,631.00
| Facility | | $2,468.00 | $4,563.00 | $9,631.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $600.15 / $808.19 / $1,424.36
| Professional | | $600.15 | $808.19 | $1,424.36 |