- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $882.00 / $3,142.00 / $7,799.00
| Facility | | $882.00 | $3,142.00 | $7,799.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $551.53 / $625.70 / $924.22
| Professional | | $551.53 | $625.70 | $924.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.35 / $6,182.00 / $17,094.48
| Facility | | $5,058.35 | $6,182.00 | $17,094.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $632.04 / $666.16 / $1,285.07
| Professional | | $632.04 | $666.16 | $1,285.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $711.98 / $711.98 / $711.98
| Facility | | $711.98 | $711.98 | $711.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $596.27 / $777.68 / $1,298.16
| Professional | | $596.27 | $777.68 | $1,298.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $740.23 / $989.00 / $1,278.58
| Professional | | $740.23 | $989.00 | $1,278.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,013.00 / $3,839.00 / $8,017.00
| Facility | | $1,013.00 | $3,839.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $560.32 / $719.00 / $3,014.50
| Professional | | $560.32 | $719.00 | $3,014.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $750.80 / $750.80 / $1,509.50
| Professional | | $750.80 | $750.80 | $1,509.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $711.98 / $711.98 / $711.98
| Facility | | $711.98 | $711.98 | $711.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $600.35 / $795.71 / $1,345.77
| Professional | | $600.35 | $795.71 | $1,345.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $593.42 / $593.42 / $644.79
| Facility | | $593.42 | $593.42 | $644.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $577.54 / $594.11 / $644.79
| Professional | | $577.54 | $594.11 | $644.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $591.47 / $766.12 / $1,247.06
| Professional | | $591.47 | $766.12 | $1,247.06 |