- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $456.79 / $8,369.76 / $18,681.96
| Facility | | $456.79 | $8,369.76 | $18,681.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $268.79 / $364.09 / $780.89
| Professional | | $268.79 | $364.09 | $780.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,968.10 / $9,879.37 / $25,560.89
| Facility | | $5,968.10 | $9,879.37 | $25,560.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $400.31 / $663.24 / $3,506.00
| Professional | | $400.31 | $663.24 | $3,506.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,353.44 / $2,353.44 / $3,920.80
| Facility | | $2,353.44 | $2,353.44 | $3,920.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $371.87 / $582.78 / $856.56
| Professional | | $371.87 | $582.78 | $856.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.37 / $658.78 / $6,620.15
| Facility | | $354.37 | $658.78 | $6,620.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $356.04 / $636.73 / $2,641.65
| Professional | | $356.04 | $636.73 | $2,641.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.99 / $428.69 / $701.77
| Professional | | $66.99 | $428.69 | $701.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.02 / $555.00 / $582.08
| Facility | | $428.02 | $555.00 | $582.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $378.26 / $388.91 / $1,470.05
| Facility | | $378.26 | $388.91 | $1,470.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $400.31 / $648.72 / $797.64
| Professional | | $400.31 | $648.72 | $797.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,406.33 / $9,873.73 / $18,898.13
| Facility | | $6,406.33 | $9,873.73 | $18,898.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $385.77 / $559.45 / $753.56
| Professional | | $385.77 | $559.45 | $753.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $365.64 / $572.72 / $812.95
| Professional | | $365.64 | $572.72 | $812.95 |