- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.29 / $1,432.73 / $3,363.00
| Facility | | $379.29 | $1,432.73 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.99 / $225.45 / $481.55
| Professional | | $103.99 | $225.45 | $481.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.44 / $640.30 / $2,713.00
| Facility | | $234.44 | $640.30 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $116.38 / $245.77 / $1,090.16
| Professional | | $116.38 | $245.77 | $1,090.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.54 / $148.90 / $262.75
| Facility | | $114.54 | $148.90 | $262.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $145.91 / $228.62 / $359.16
| Professional | | $145.91 | $228.62 | $359.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $142.19 / $253.98 / $459.55
| Professional | | $142.19 | $253.98 | $459.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.14 / $208.86 / $6,679.00
| Facility | | $100.14 | $208.86 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.13 / $173.32 / $279.42
| Professional | | $94.13 | $173.32 | $279.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.37 / $272.20 / $413.76
| Professional | | $126.37 | $272.20 | $413.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $352.67 / $533.14 / $830.59
| Facility | | $352.67 | $533.14 | $830.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $158.77 / $249.32 / $349.00
| Professional | | $158.77 | $249.32 | $349.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,078.00 / $3,445.00
| Facility | | $55.00 | $1,078.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.64 / $379.14 / $1,090.16
| Professional | | $181.64 | $379.14 | $1,090.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $3,445.00
| Facility | | $627.00 | $1,818.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $168.76 / $222.31 / $560.29
| Professional | | $168.76 | $222.31 | $560.29 |