- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $481.84 / $10,122.46 / $27,982.24
| Facility | | $481.84 | $10,122.46 | $27,982.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $334.78 / $413.32 / $747.31
| Professional | | $334.78 | $413.32 | $747.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $400.00 / $2,619.00
| Facility | | $55.00 | $400.00 | $2,619.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $450.21 / $811.24 / $3,489.84
| Professional | | $450.21 | $811.24 | $3,489.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $714.97 / $947.00
| Facility | | $500.00 | $714.97 | $947.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $411.91 / $750.89 / $1,098.85
| Professional | | $411.91 | $750.89 | $1,098.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $325.19 / $643.32 / $940.63
| Facility | | $325.19 | $643.32 | $940.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $325.19 / $643.32 / $947.53
| Professional | | $325.19 | $643.32 | $947.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.00 / $50.00 / $65.00
| Professional | | $45.00 | $50.00 | $65.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $492.12 / $703.03 / $730.97
| Facility | | $492.12 | $703.03 | $730.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.00 / $400.00 / $400.00
| Facility | | $400.00 | $400.00 | $400.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $400.00 / $831.67 / $913.93
| Professional | | $400.00 | $831.67 | $913.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $551.59 / $717.22 / $925.93
| Professional | | $551.59 | $717.22 | $925.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $1,120.00 / $5,793.00
| Facility | | $650.00 | $1,120.00 | $5,793.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $391.56 / $601.20 / $1,048.52
| Professional | | $391.56 | $601.20 | $1,048.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $322.87 / $322.87 / $322.87
| Professional | | $322.87 | $322.87 | $322.87 |