- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $714.00 / $3,213.00 / $10,836.00
| Facility | | $714.00 | $3,213.00 | $10,836.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $312.49 / $341.15 / $534.44
| Professional | | $312.49 | $341.15 | $534.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,674.03 / $4,819.47 / $9,545.67
| Facility | | $2,674.03 | $4,819.47 | $9,545.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $298.87 / $378.40 / $531.84
| Professional | | $298.87 | $378.40 | $531.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $297.82 / $297.82 / $306.69
| Facility | | $297.82 | $297.82 | $306.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,024.00 / $2,779.08 / $3,608.01
| Facility | | $2,024.00 | $2,779.08 | $3,608.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.54 / $468.03 / $710.18
| Professional | | $338.54 | $468.03 | $710.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $12,117.25 / $26,542.00
| Facility | | $11,500.00 | $12,117.25 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,451.36 / $2,532.25 / $2,695.28
| Professional | | $2,451.36 | $2,532.25 | $2,695.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.45 / $461.85 / $722.77
| Facility | | $316.45 | $461.85 | $722.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $364.55 / $485.01 / $589.62
| Professional | | $364.55 | $485.01 | $589.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $582.60 / $789.00
| Professional | | $4.00 | $582.60 | $789.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $316.70 / $467.11 / $773.01
| Facility | | $316.70 | $467.11 | $773.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $349.21 / $485.63 / $835.42
| Professional | | $349.21 | $485.63 | $835.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,634.00 / $4,200.00 / $10,600.00
| Facility | | $1,634.00 | $4,200.00 | $10,600.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $282.08 / $379.52 / $611.82
| Professional | | $282.08 | $379.52 | $611.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $270.55 / $316.70 / $427.09
| Professional | | $270.55 | $316.70 | $427.09 |