- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $397.37 / $3,818.00 / $9,267.00
| Facility | | $397.37 | $3,818.00 | $9,267.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $283.77 / $365.79 / $773.85
| Professional | | $283.77 | $365.79 | $773.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,393.00 / $4,120.00 / $8,836.00
| Facility | | $2,393.00 | $4,120.00 | $8,836.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $223.11 / $287.52 / $712.91
| Professional | | $223.11 | $287.52 | $712.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $425.65 / $425.65 / $4,050.00
| Facility | | $425.65 | $425.65 | $4,050.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $425.65 / $425.65 / $425.65
| Professional | | $425.65 | $425.65 | $425.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.86 / $344.86 / $3,479.91
| Facility | | $344.86 | $344.86 | $3,479.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $236.46 / $494.51 / $1,055.76
| Professional | | $236.46 | $494.51 | $1,055.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $325.81 / $797.76
| Facility | | $75.00 | $325.81 | $797.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $354.56 / $412.71 / $617.65
| Professional | | $354.56 | $412.71 | $617.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.67 / $284.63 / $565.09
| Professional | | $234.67 | $284.63 | $565.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,247.63 / $7,247.63 / $7,247.63
| Facility | | $7,247.63 | $7,247.63 | $7,247.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.86 / $555.00 / $3,479.91
| Facility | | $344.86 | $555.00 | $3,479.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $250.54 / $494.51 / $1,071.18
| Professional | | $250.54 | $494.51 | $1,071.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,768.00 / $4,176.00 / $8,312.00
| Facility | | $1,768.00 | $4,176.00 | $8,312.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $253.12 / $359.14 / $817.70
| Professional | | $253.12 | $359.14 | $817.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.89 / $332.89 / $889.26
| Facility | | $332.89 | $332.89 | $889.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $234.67 / $382.60 / $724.02
| Professional | | $234.67 | $382.60 | $724.02 |