- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.13 / $4,932.00 / $16,713.00
| Facility | | $466.13 | $4,932.00 | $16,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $155.65 / $418.87 / $802.61
| Professional | | $155.65 | $418.87 | $802.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $4,465.00 / $9,381.00
| Facility | | $1,615.00 | $4,465.00 | $9,381.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $253.58 / $591.60 / $1,045.90
| Professional | | $253.58 | $591.60 | $1,045.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.80 / $100.00 / $11,263.00
| Facility | | $65.80 | $100.00 | $11,263.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.62 / $360.46 / $690.52
| Professional | | $185.62 | $360.46 | $690.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.58 / $343.27 / $803.28
| Professional | | $154.58 | $343.27 | $803.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $137.75 / $385.33 / $485.93
| Professional | | $137.75 | $385.33 | $485.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.78 / $298.58 / $505.38
| Professional | | $130.78 | $298.58 | $505.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $604.00 / $628.28 / $26,542.00
| Facility | | $604.00 | $628.28 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,969.00 / $2,421.96 / $2,516.78
| Professional | | $1,969.00 | $2,421.96 | $2,516.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.72 / $321.89 / $597.76
| Facility | | $154.72 | $321.89 | $597.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $157.29 / $359.89 / $818.53
| Professional | | $157.29 | $359.89 | $818.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $433.87 / $433.87 / $1,073.42
| Professional | | $433.87 | $433.87 | $1,073.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.65 / $403.34 / $728.90
| Professional | | $128.65 | $403.34 | $728.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $548.00 / $1,523.00 / $6,920.00
| Facility | | $548.00 | $1,523.00 | $6,920.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $267.93 / $422.40 / $895.96
| Professional | | $267.93 | $422.40 | $895.96 |