- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $538.54 / $2,791.00 / $7,629.00
| Facility | | $538.54 | $2,791.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.01 / $466.85 / $838.83
| Professional | | $297.01 | $466.85 | $838.83 |
- 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
- $545.66 / $566.26 / $566.26
| Professional | | $545.66 | $566.26 | $566.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $603.66 / $603.66 / $603.66
| Facility | | $603.66 | $603.66 | $603.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $328.96 / $514.78 / $879.61
| Professional | | $328.96 | $514.78 | $879.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $655.00 / $876.08 / $1,131.35
| Professional | | $655.00 | $876.08 | $1,131.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.50 / $0.50 / $27,857.08
| Facility | | $0.50 | $0.50 | $27,857.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $350.14 / $350.14 / $566.61
| Professional | | $350.14 | $350.14 | $566.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $749.00 / $3,838.00 / $8,017.00
| Facility | | $749.00 | $3,838.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $313.95 / $513.53 / $1,243.16
| Professional | | $313.95 | $513.53 | $1,243.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $539.40 / $539.40 / $1,112.09
| Professional | | $539.40 | $539.40 | $1,112.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $603.66 / $603.66 / $603.66
| Facility | | $603.66 | $603.66 | $603.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $334.74 / $518.85 / $928.62
| Professional | | $334.74 | $518.85 | $928.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $329.76 / $458.28 / $513.14
| Facility | | $329.76 | $458.28 | $513.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $329.40 / $485.63 / $551.05
| Professional | | $329.40 | $485.63 | $551.05 |
- 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
- $447.34 / $587.60 / $989.27
| Professional | | $447.34 | $587.60 | $989.27 |