- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $969.00 / $3,622.31 / $10,836.00
| Facility | | $969.00 | $3,622.31 | $10,836.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,945.20 / $2,593.16 / $3,117.04
| Professional | | $1,945.20 | $2,593.16 | $3,117.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,124.13 / $2,688.63 / $3,745.86
| Professional | | $2,124.13 | $2,688.63 | $3,745.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.39 / $2,089.39 / $2,089.39
| Facility | | $2,089.39 | $2,089.39 | $2,089.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,982.71 / $2,811.75 / $4,128.49
| Professional | | $1,982.71 | $2,811.75 | $4,128.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $41,537.60
| Facility | | $55.00 | $55.00 | $41,537.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16,263.12 / $16,643.84 / $19,921.80
| Professional | | $16,263.12 | $16,643.84 | $19,921.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,881.35 / $2,582.21 / $5,139.75
| Facility | | $1,881.35 | $2,582.21 | $5,139.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,927.13 / $3,377.46 / $3,940.37
| Professional | | $2,927.13 | $3,377.46 | $3,940.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,215.00 / $2,215.00 / $2,215.00
| Professional | | $2,215.00 | $2,215.00 | $2,215.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,881.35 / $2,582.21 / $5,271.02
| Facility | | $1,881.35 | $2,582.21 | $5,271.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,041.55 / $2,952.06 / $4,731.68
| Professional | | $2,041.55 | $2,952.06 | $4,731.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $385.00 / $2,064.00 / $8,759.00
| Facility | | $385.00 | $2,064.00 | $8,759.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,814.06 / $2,372.67 / $3,943.44
| Professional | | $1,814.06 | $2,372.67 | $3,943.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,921.71 / $2,195.34 / $3,010.14
| Professional | | $1,921.71 | $2,195.34 | $3,010.14 |