- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $337.38 / $2,159.65 / $9,524.03
| Facility | | $337.38 | $2,159.65 | $9,524.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.63 / $651.77 / $1,110.03
| Professional | | $152.63 | $651.77 | $1,110.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $648.64 / $1,023.88 / $1,448.86
| Professional | | $648.64 | $1,023.88 | $1,448.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $170.43 / $355.19 / $1,474.33
| Professional | | $170.43 | $355.19 | $1,474.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,200.65 / $1,200.65 / $1,238.94
| Professional | | $1,200.65 | $1,200.65 | $1,238.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,591.52 / $2,628.83 / $3,389.13
| Facility | | $1,591.52 | $2,628.83 | $3,389.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $187.55 / $314.79 / $969.49
| Professional | | $187.55 | $314.79 | $969.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.00 / $2,159.65 / $8,451.00
| Facility | | $428.00 | $2,159.65 | $8,451.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $152.63 / $545.94 / $1,564.31
| Professional | | $152.63 | $545.94 | $1,564.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.71 / $276.20 / $1,649.00
| Professional | | $144.71 | $276.20 | $1,649.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.66 / $372.76 / $1,471.63
| Professional | | $173.66 | $372.76 | $1,471.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.83 / $187.21 / $773.37
| Facility | | $150.83 | $187.21 | $773.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.96 / $187.21 / $842.16
| Professional | | $144.96 | $187.21 | $842.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $577.00 / $3,742.00
| Facility | | $144.00 | $577.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $791.18 / $1,136.40 / $1,867.81
| Professional | | $791.18 | $1,136.40 | $1,867.81 |