- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $306.35 / $2,733.00 / $5,570.13
| Facility | | $306.35 | $2,733.00 | $5,570.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $205.52 / $323.42 / $908.45
| Professional | | $205.52 | $323.42 | $908.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $474.46 / $4,983.00 / $15,220.00
| Facility | | $474.46 | $4,983.00 | $15,220.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $216.43 / $515.15 / $3,318.00
| Professional | | $216.43 | $515.15 | $3,318.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.69 / $294.70 / $542.80
| Facility | | $226.69 | $294.70 | $542.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $288.80 / $536.07 / $1,304.42
| Professional | | $288.80 | $536.07 | $1,304.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $279.98 / $563.07 / $1,048.91
| Professional | | $279.98 | $563.07 | $1,048.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $198.41 / $413.36 / $6,679.00
| Facility | | $198.41 | $413.36 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $220.12 / $403.19 / $650.02
| Professional | | $220.12 | $403.19 | $650.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $249.80 / $538.05 / $956.64
| Professional | | $249.80 | $538.05 | $956.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,559.85 / $3,103.34 / $7,325.86
| Facility | | $1,559.85 | $3,103.34 | $7,325.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $155.10 / $444.80 / $917.14
| Professional | | $155.10 | $444.80 | $917.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $964.96 / $5,572.00 / $26,542.00
| Facility | | $964.96 | $5,572.00 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $377.80 / $710.74 / $3,318.00
| Professional | | $377.80 | $710.74 | $3,318.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,155.00 / $4,983.00 / $8,810.00
| Facility | | $2,155.00 | $4,983.00 | $8,810.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $343.45 / $535.30 / $1,183.60
| Professional | | $343.45 | $535.30 | $1,183.60 |