- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $482.60 / $6,827.70 / $69,867.00
| Facility | | $482.60 | $6,827.70 | $69,867.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $353.46 / $432.59 / $658.83
| Professional | | $353.46 | $432.59 | $658.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123,526.00 / $152,581.00 / $170,101.00
| Facility | | $123,526.00 | $152,581.00 | $170,101.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $335.62 / $426.71 / $595.60
| Professional | | $335.62 | $426.71 | $595.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $389.55 / $551.77 / $11,566.00
| Professional | | $389.55 | $551.77 | $11,566.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $378.07 / $499.99 / $872.08
| Professional | | $378.07 | $499.99 | $872.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $345.58 / $414.70 / $511.46
| Professional | | $345.58 | $414.70 | $511.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.32 / $511.56 / $723.90
| Facility | | $416.32 | $511.56 | $723.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $446.00 / $510.00 / $851.78
| Professional | | $446.00 | $510.00 | $851.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $369.59 / $505.14 / $27,805.00
| Facility | | $369.59 | $505.14 | $27,805.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $369.59 / $505.14 / $27,805.00
| Professional | | $369.59 | $505.14 | $27,805.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,644.00 / $69,183.00 / $125,655.00
| Facility | | $27,644.00 | $69,183.00 | $125,655.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $340.25 / $541.14 / $843.92
| Professional | | $340.25 | $541.14 | $843.92 |