- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $210.03 / $7,281.00 / $20,135.00
| Facility | | $210.03 | $7,281.00 | $20,135.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $116.13 / $196.07 / $1,064.18
| Professional | | $116.13 | $196.07 | $1,064.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,723.00 / $4,505.00 / $9,119.00
| Facility | | $1,723.00 | $4,505.00 | $9,119.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.94 / $236.17 / $546.89
| Professional | | $138.94 | $236.17 | $546.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.90 / $100.00 / $1,684.75
| Facility | | $65.90 | $100.00 | $1,684.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $132.22 / $195.44 / $420.30
| Professional | | $132.22 | $195.44 | $420.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.54 / $222.67 / $527.37
| Professional | | $133.54 | $222.67 | $527.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.06 / $145.51 / $277.70
| Professional | | $61.06 | $145.51 | $277.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.23 / $215.11 / $384.09
| Professional | | $126.23 | $215.11 | $384.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $808.62 / $819.06
| Facility | | $55.00 | $808.62 | $819.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $854.16 / $1,409.04 / $1,662.98
| Professional | | $854.16 | $1,409.04 | $1,662.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.20 / $191.06 / $324.88
| Facility | | $110.20 | $191.06 | $324.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.88 / $233.66 / $510.49
| Professional | | $134.88 | $233.66 | $510.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $391.00 / $391.00 / $660.29
| Professional | | $391.00 | $391.00 | $660.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.06 / $107.80 / $280.63
| Professional | | $61.06 | $107.80 | $280.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,048.00 / $4,060.00 / $9,131.00
| Facility | | $2,048.00 | $4,060.00 | $9,131.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $157.63 / $222.96 / $607.29
| Professional | | $157.63 | $222.96 | $607.29 |