- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.38 / $2,747.00 / $8,017.00
| Facility | | $186.38 | $2,747.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.11 / $143.51 / $194.70
| Professional | | $36.11 | $143.51 | $194.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,299.82 / $2,746.00 / $13,822.74
| Facility | | $2,299.82 | $2,746.00 | $13,822.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.09 / $134.22 / $139.28
| Professional | | $114.09 | $134.22 | $139.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.61 / $87.94 / $257.13
| Professional | | $37.61 | $87.94 | $257.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $217.38 / $217.38 / $225.37
| Professional | | $217.38 | $217.38 | $225.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $952.18 / $1,509.43 / $3,569.25
| Facility | | $952.18 | $1,509.43 | $3,569.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.88 / $47.88 / $47.88
| Professional | | $47.88 | $47.88 | $47.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $918.00 / $3,077.00 / $8,017.00
| Facility | | $918.00 | $3,077.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.11 / $161.06 / $871.95
| Professional | | $36.11 | $161.06 | $871.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.80 / $137.37 / $313.00
| Professional | | $30.80 | $137.37 | $313.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.61 / $87.94 / $256.49
| Professional | | $37.61 | $87.94 | $256.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.44 / $106.73 / $165.10
| Facility | | $32.44 | $106.73 | $165.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.44 / $106.73 / $151.01
| Professional | | $32.44 | $106.73 | $151.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $435.00 / $1,305.00 / $3,742.00
| Facility | | $435.00 | $1,305.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $151.91 / $195.18 / $308.27
| Professional | | $151.91 | $195.18 | $308.27 |