- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,013.00 / $5,342.00 / $11,083.00
| Facility | | $1,013.00 | $5,342.00 | $11,083.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $392.11 / $440.67 / $510.34
| Professional | | $392.11 | $440.67 | $510.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $57,255.43
| Facility | | $13,531.00 | $27,840.00 | $57,255.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $300.25 / $366.58 / $554.83
| Professional | | $300.25 | $366.58 | $554.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $363.79 / $544.54 / $751.30
| Professional | | $363.79 | $544.54 | $751.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $547.79 / $547.79 / $567.69
| Professional | | $547.79 | $547.79 | $567.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,301.00 / $5,868.00 / $12,474.00
| Facility | | $1,301.00 | $5,868.00 | $12,474.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $392.11 / $507.13 / $2,843.00
| Professional | | $392.11 | $507.13 | $2,843.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $662.10 / $921.60
| Professional | | $7.00 | $662.10 | $921.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $399.90 / $552.82 / $833.03
| Professional | | $399.90 | $552.82 | $833.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.39 / $354.39 / $539.51
| Facility | | $354.39 | $354.39 | $539.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $341.04 / $358.65 / $539.51
| Professional | | $341.04 | $358.65 | $539.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,742.00 / $16,052.00 / $91,781.00
| Facility | | $3,742.00 | $16,052.00 | $91,781.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $349.91 / $484.07 / $735.19
| Professional | | $349.91 | $484.07 | $735.19 |