- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $746.99 / $3,213.00 / $10,836.00
| Facility | | $746.99 | $3,213.00 | $10,836.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $460.86 / $521.64 / $771.08
| Professional | | $460.86 | $521.64 | $771.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $456.41 / $505.98 / $768.00
| Professional | | $456.41 | $505.98 | $768.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $430.50 / $430.50 / $432.69
| Facility | | $430.50 | $430.50 | $432.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,024.00 / $3,741.00 / $4,187.68
| Facility | | $2,024.00 | $3,741.00 | $4,187.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $475.49 / $659.18 / $1,044.46
| Professional | | $475.49 | $659.18 | $1,044.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $16,547.20 / $26,542.00
| Facility | | $11,500.00 | $16,547.20 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,794.81 / $4,794.81 / $4,794.81
| Professional | | $4,794.81 | $4,794.81 | $4,794.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $481.51 / $609.17 / $1,132.50
| Facility | | $481.51 | $609.17 | $1,132.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $555.00 / $738.39 / $897.65
| Professional | | $555.00 | $738.39 | $897.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $684.70 / $1,285.50
| Professional | | $5.00 | $684.70 | $1,285.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.51 / $619.50 / $1,272.94
| Facility | | $484.51 | $619.50 | $1,272.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $491.80 / $697.16 / $1,244.92
| Professional | | $491.80 | $697.16 | $1,244.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $5,870.00 / $13,237.00
| Facility | | $2,093.00 | $5,870.00 | $13,237.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $411.71 / $548.32 / $867.19
| Professional | | $411.71 | $548.32 | $867.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $411.89 / $481.51 / $652.12
| Professional | | $411.89 | $481.51 | $652.12 |