- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $521.00 / $2,181.00 / $7,513.00
| Facility | | $521.00 | $2,181.00 | $7,513.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $419.31 / $473.82 / $699.98
| Professional | | $419.31 | $473.82 | $699.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $422.61 / $534.91 / $745.26
| Professional | | $422.61 | $534.91 | $745.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.37 / $416.37 / $416.37
| Facility | | $416.37 | $416.37 | $416.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,322.00 / $1,813.99 / $2,355.06
| Facility | | $1,322.00 | $1,813.99 | $2,355.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $409.01 / $571.73 / $897.66
| Professional | | $409.01 | $571.73 | $897.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,909.30 / $11,500.00 / $12,000.00
| Facility | | $7,909.30 | $11,500.00 | $12,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3,277.04 / $3,371.12 / $3,844.28
| Professional | | $3,277.04 | $3,371.12 | $3,844.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $402.75 / $527.26 / $994.00
| Facility | | $402.75 | $527.26 | $994.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $508.88 / $677.03 / $823.05
| Professional | | $508.88 | $677.03 | $823.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $413.80 / $1,222.09
| Professional | | $5.00 | $413.80 | $1,222.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $404.86 / $540.47 / $1,050.27
| Facility | | $404.86 | $540.47 | $1,050.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $425.38 / $602.28 / $1,127.33
| Professional | | $425.38 | $602.28 | $1,127.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $593.00 / $2,045.00 / $4,480.00
| Facility | | $593.00 | $2,045.00 | $4,480.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $360.65 / $483.90 / $743.37
| Professional | | $360.65 | $483.90 | $743.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $377.66 / $441.51 / $599.28
| Professional | | $377.66 | $441.51 | $599.28 |