- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $393.74 / $1,819.00 / $7,629.00
| Facility | | $393.74 | $1,819.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.94 / $312.02 / $673.16
| Professional | | $94.94 | $312.02 | $673.16 |
- 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
- $237.35 / $482.48 / $747.86
| Professional | | $237.35 | $482.48 | $747.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.37 / $149.37 / $149.37
| Facility | | $149.37 | $149.37 | $149.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.76 / $222.61 / $776.67
| Professional | | $96.76 | $222.61 | $776.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $568.55 / $737.72 / $966.02
| Professional | | $568.55 | $737.72 | $966.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,753.02 / $3,753.02 / $18,405.21
| Facility | | $3,753.02 | $3,753.02 | $18,405.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $393.74 / $1,938.07 / $8,017.00
| Facility | | $393.74 | $1,938.07 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.40 / $315.00 / $858.33
| Professional | | $91.40 | $315.00 | $858.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.80 / $133.80 / $1,144.90
| Professional | | $133.80 | $133.80 | $1,144.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.97 / $149.37 / $149.37
| Facility | | $105.97 | $149.37 | $149.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.14 / $222.61 / $769.10
| Professional | | $97.14 | $222.61 | $769.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.88 / $148.69 / $488.68
| Facility | | $85.88 | $148.69 | $488.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.88 / $446.04 / $532.85
| Professional | | $85.88 | $446.04 | $532.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $674.00 / $3,742.00
| Facility | | $144.00 | $674.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $125.00 / $557.51 / $1,013.07
| Professional | | $125.00 | $557.51 | $1,013.07 |