- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $514.27 / $2,733.00 / $6,405.23
| Facility | | $514.27 | $2,733.00 | $6,405.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $268.19 / $346.74 / $1,272.00
| Professional | | $268.19 | $346.74 | $1,272.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $720.64 / $3,600.11 / $26,542.00
| Facility | | $720.64 | $3,600.11 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $307.69 / $563.77 / $2,709.17
| Professional | | $307.69 | $563.77 | $2,709.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $570.32 / $1,033.32 / $3,212.69
| Professional | | $570.32 | $1,033.32 | $3,212.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $680.00 / $748.00 / $6,493.89
| Facility | | $680.00 | $748.00 | $6,493.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $300.47 / $480.96 / $916.37
| Professional | | $300.47 | $480.96 | $916.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $299.75 / $814.00 / $6,679.00
| Facility | | $299.75 | $814.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $337.22 / $428.04 / $638.12
| Professional | | $337.22 | $428.04 | $638.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $364.13 / $718.79 / $928.17
| Professional | | $364.13 | $718.79 | $928.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,672.91 / $4,434.04 / $4,789.62
| Facility | | $1,672.91 | $4,434.04 | $4,789.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $509.56 / $886.32 / $918.21
| Professional | | $509.56 | $886.32 | $918.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,061.00 / $4,249.00 / $26,542.00
| Facility | | $1,061.00 | $4,249.00 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $327.27 / $563.77 / $2,709.17
| Professional | | $327.27 | $563.77 | $2,709.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,061.00 / $2,854.00 / $5,714.00
| Facility | | $1,061.00 | $2,854.00 | $5,714.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $307.69 / $491.03 / $1,330.01
| Professional | | $307.69 | $491.03 | $1,330.01 |