- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,157.78 / $9,358.00 / $23,701.97
| Facility | | $2,157.78 | $9,358.00 | $23,701.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $368.54 / $413.12 / $1,947.88
| Professional | | $368.54 | $413.12 | $1,947.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,143.00 / $5,944.00 / $13,012.00
| Facility | | $2,143.00 | $5,944.00 | $13,012.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $504.90 / $715.23 / $1,303.56
| Professional | | $504.90 | $715.23 | $1,303.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.90 / $100.00 / $20,774.09
| Facility | | $65.90 | $100.00 | $20,774.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.98 / $457.20 / $1,014.62
| Professional | | $297.98 | $457.20 | $1,014.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.26 / $14,825.00 / $17,321.00
| Facility | | $2,468.26 | $14,825.00 | $17,321.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $393.60 / $487.98 / $1,205.31
| Professional | | $393.60 | $487.98 | $1,205.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $295.23 / $413.11 / $2,739.37
| Professional | | $295.23 | $413.11 | $2,739.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $366.35 / $454.42 / $851.96
| Professional | | $366.35 | $454.42 | $851.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,744.10 / $11,082.10 / $11,933.00
| Facility | | $1,744.10 | $11,082.10 | $11,933.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,216.38 / $3,251.51 / $3,251.51
| Professional | | $3,216.38 | $3,251.51 | $3,251.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $396.45 / $528.30 / $872.12
| Facility | | $396.45 | $528.30 | $872.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $389.47 / $491.45 / $1,076.19
| Professional | | $389.47 | $491.45 | $1,076.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,208.63 / $1,208.63 / $1,208.63
| Professional | | $1,208.63 | $1,208.63 | $1,208.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $295.23 / $413.33 / $558.47
| Professional | | $295.23 | $413.33 | $558.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,116.00 / $9,810.00 / $22,073.00
| Facility | | $5,116.00 | $9,810.00 | $22,073.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.39 / $477.40 / $1,071.97
| Professional | | $316.39 | $477.40 | $1,071.97 |