- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.46 / $3,302.00 / $7,845.06
| Facility | | $213.46 | $3,302.00 | $7,845.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.83 / $244.13 / $384.00
| Professional | | $120.83 | $244.13 | $384.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,450.00 / $5,951.00 / $8,887.00
| Facility | | $2,450.00 | $5,951.00 | $8,887.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $276.39 / $286.83 / $288.51
| Professional | | $276.39 | $286.83 | $288.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.68 / $269.89 / $518.64
| Professional | | $140.68 | $269.89 | $518.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $333.71 / $442.27 / $453.88
| Professional | | $333.71 | $442.27 | $453.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,834.31 / $4,343.18 / $7,348.45
| Facility | | $1,834.31 | $4,343.18 | $7,348.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.10 / $3,145.60 / $7,845.06
| Facility | | $231.10 | $3,145.60 | $7,845.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $129.65 / $273.41 / $556.30
| Professional | | $129.65 | $273.41 | $556.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $323.30 / $826.90
| Professional | | $3.00 | $323.30 | $826.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $143.66 / $269.89 / $532.98
| Professional | | $143.66 | $269.89 | $532.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127.49 / $247.23 / $1,087.01
| Facility | | $127.49 | $247.23 | $1,087.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $127.49 / $288.30 / $315.37
| Professional | | $127.49 | $288.30 | $315.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $281.08 / $351.36 / $569.90
| Professional | | $281.08 | $351.36 | $569.90 |