- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525.98 / $2,747.00 / $8,017.00
| Facility | | $525.98 | $2,747.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $324.48 / $438.67 / $592.16
| Professional | | $324.48 | $438.67 | $592.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,800.00 / $7,463.00 / $11,048.00
| Facility | | $2,800.00 | $7,463.00 | $11,048.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $479.57 / $497.66 / $497.66
| Professional | | $479.57 | $497.66 | $497.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $337.83 / $482.99 / $782.96
| Professional | | $337.83 | $482.99 | $782.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $577.00 / $741.85 / $765.16
| Professional | | $577.00 | $741.85 | $765.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $3,077.00 / $8,017.00
| Facility | | $832.00 | $3,077.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $344.33 / $494.57 / $1,851.76
| Professional | | $344.33 | $494.57 | $1,851.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $511.00 / $511.00 / $540.79
| Professional | | $511.00 | $511.00 | $540.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $591.55 / $591.55 / $591.55
| Facility | | $591.55 | $591.55 | $591.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.59 / $495.16 / $819.12
| Professional | | $346.59 | $495.16 | $819.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $341.06 / $413.43 / $476.06
| Facility | | $341.06 | $413.43 | $476.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $340.97 / $464.51 / $509.91
| Professional | | $340.97 | $464.51 | $509.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.00 / $2,884.00 / $6,000.00
| Facility | | $1,122.00 | $2,884.00 | $6,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $414.58 / $536.66 / $906.18
| Professional | | $414.58 | $536.66 | $906.18 |