- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $523.69 / $1,924.00 / $7,197.00
| Facility | | $523.69 | $1,924.00 | $7,197.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $301.31 / $351.68 / $458.83
| Professional | | $301.31 | $351.68 | $458.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,736.00 / $4,444.00 / $15,949.31
| Facility | | $3,736.00 | $4,444.00 | $15,949.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.02 / $392.89 / $669.01
| Professional | | $363.02 | $392.89 | $669.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $410.60 / $410.60 / $410.60
| Facility | | $410.60 | $410.60 | $410.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $313.92 / $433.24 / $716.18
| Professional | | $313.92 | $433.24 | $716.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $427.83 / $580.88 / $738.99
| Professional | | $427.83 | $580.88 | $738.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,134.56 / $5,539.15 / $8,889.21
| Facility | | $5,134.56 | $5,539.15 | $8,889.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $749.00 / $3,627.00 / $8,017.00
| Facility | | $749.00 | $3,627.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $301.31 / $374.02 / $1,820.00
| Professional | | $301.31 | $374.02 | $1,820.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $460.50 / $460.50 / $732.20
| Professional | | $460.50 | $460.50 | $732.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $410.60 / $410.60 / $410.60
| Facility | | $410.60 | $410.60 | $410.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $319.75 / $437.58 / $726.78
| Professional | | $319.75 | $437.58 | $726.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $353.32 / $353.32 / $409.07
| Facility | | $353.32 | $353.32 | $409.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $341.59 / $355.96 / $409.07
| Professional | | $341.59 | $355.96 | $409.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $471.00 / $1,155.00 / $3,742.00
| Facility | | $471.00 | $1,155.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $322.63 / $429.51 / $711.25
| Professional | | $322.63 | $429.51 | $711.25 |