- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $623.87 / $3,839.00 / $8,247.00
| Facility | | $623.87 | $3,839.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $516.54 / $581.76 / $739.95
| Professional | | $516.54 | $581.76 | $739.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,480.74
| Facility | | $13,531.00 | $27,840.00 | $46,480.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $584.54 / $606.61 / $606.61
| Professional | | $584.54 | $606.61 | $606.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $563.16 / $753.86 / $1,156.41
| Professional | | $563.16 | $753.86 | $1,156.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $683.39 / $904.36 / $909.67
| Professional | | $683.39 | $904.36 | $909.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $657.00 / $4,761.00 / $8,247.00
| Facility | | $657.00 | $4,761.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $516.54 / $623.87 / $2,843.00
| Professional | | $516.54 | $623.87 | $2,843.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $772.10 / $1,456.30
| Professional | | $6.00 | $772.10 | $1,456.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $563.79 / $761.97 / $1,179.31
| Professional | | $563.79 | $761.97 | $1,179.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $566.89 / $566.89 / $784.90
| Facility | | $566.89 | $566.89 | $784.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $550.45 / $568.87 / $784.90
| Professional | | $550.45 | $568.87 | $784.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $3,914.00 / $7,000.00
| Facility | | $2,332.00 | $3,914.00 | $7,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537.05 / $719.54 / $1,168.21
| Professional | | $537.05 | $719.54 | $1,168.21 |