- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.91 / $2,747.00 / $8,113.00
| Facility | | $309.91 | $2,747.00 | $8,113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.15 / $299.97 / $618.85
| Professional | | $144.15 | $299.97 | $618.85 |
- 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
- $292.72 / $309.91 / $344.38
| Professional | | $292.72 | $309.91 | $344.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $160.99 / $309.91 / $574.14
| Professional | | $160.99 | $309.91 | $574.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $359.77 / $476.80 / $488.46
| Professional | | $359.77 | $476.80 | $488.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,328.81 / $4,173.57 / $7,121.10
| Facility | | $1,328.81 | $4,173.57 | $7,121.10 |
- Facility/Professional
- Facility
- Modifier
- 22
- Low / Median / High Price
- $9,182.08 / $9,182.08 / $9,182.08
| Facility | 22 | $9,182.08 | $9,182.08 | $9,182.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $293.93 / $3,078.62 / $8,017.00
| Facility | | $293.93 | $3,078.62 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.30 / $323.42 / $728.69
| Professional | | $150.30 | $323.42 | $728.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $296.00 / $885.00
| Professional | | $3.00 | $296.00 | $885.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $164.00 / $318.20 / $574.14
| Professional | | $164.00 | $318.20 | $574.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.63 / $253.04 / $614.83
| Facility | | $146.63 | $253.04 | $614.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $146.63 / $310.13 / $339.16
| Professional | | $146.63 | $310.13 | $339.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $814.00 / $2,391.00 / $4,789.00
| Facility | | $814.00 | $2,391.00 | $4,789.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $300.06 / $394.44 / $624.42
| Professional | | $300.06 | $394.44 | $624.42 |