- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.82 / $585.33 / $7,278.00
| Facility | | $227.82 | $585.33 | $7,278.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $227.82 / $355.64 / $604.99
| Professional | | $227.82 | $355.64 | $604.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,704.83 / $1,704.83 / $1,729.70
| Facility | | $1,704.83 | $1,704.83 | $1,729.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $333.87 / $584.27 / $914.18
| Professional | | $333.87 | $584.27 | $914.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.04 / $530.04 / $2,710.28
| Facility | | $530.04 | $530.04 | $2,710.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $299.18 / $433.45 / $785.96
| Professional | | $299.18 | $433.45 | $785.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $232.38 / $426.77 / $638.64
| Facility | | $232.38 | $426.77 | $638.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $456.16 / $484.00 / $600.00
| Professional | | $456.16 | $484.00 | $600.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $481.20 / $1,027.00
| Professional | | $3.00 | $481.20 | $1,027.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,661.00 / $7,659.00 / $10,502.00
| Facility | | $1,661.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $322.31 / $446.57 / $906.77
| Professional | | $322.31 | $446.57 | $906.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,095.44 / $1,210.30 / $16,394.00
| Facility | | $1,095.44 | $1,210.30 | $16,394.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,751.04 / $2,650.56 / $3,040.43
| Professional | | $1,751.04 | $2,650.56 | $3,040.43 |