- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $331.38 / $1,291.58 / $14,464.32
| Facility | | $331.38 | $1,291.58 | $14,464.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $189.06 / $484.33 / $1,110.03
| Professional | | $189.06 | $484.33 | $1,110.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $2,298.89 / $4,418.06
| Facility | | $55.00 | $2,298.89 | $4,418.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $304.20 / $1,015.14 / $4,095.04
| Professional | | $304.20 | $1,015.14 | $4,095.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $870.49 / $2,005.01
| Facility | | $500.00 | $870.49 | $2,005.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $246.19 / $572.22 / $1,624.32
| Professional | | $246.19 | $572.22 | $1,624.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $268.50 / $839.84 / $1,833.99
| Facility | | $268.50 | $839.84 | $1,833.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $239.40 / $628.29 / $1,531.56
| Professional | | $239.40 | $628.29 | $1,531.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.86 / $876.30 / $1,492.33
| Professional | | $141.86 | $876.30 | $1,492.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $552.13 / $779.16 / $1,168.10
| Facility | | $552.13 | $779.16 | $1,168.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $297.33 / $651.66 / $1,447.48
| Professional | | $297.33 | $651.66 | $1,447.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,298.89 / $3,344.18 / $6,397.05
| Facility | | $2,298.89 | $3,344.18 | $6,397.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $300.74 / $756.06 / $1,284.07
| Professional | | $300.74 | $756.06 | $1,284.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $1,120.00 / $6,857.00
| Facility | | $650.00 | $1,120.00 | $6,857.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $622.24 / $970.52 / $1,598.17
| Professional | | $622.24 | $970.52 | $1,598.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $191.16 / $446.13 / $614.60
| Professional | | $191.16 | $446.13 | $614.60 |