- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,029.33 / $4,993.00 / $14,381.00
| Facility | | $1,029.33 | $4,993.00 | $14,381.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $959.17 / $1,134.01 / $1,737.92
| Professional | | $959.17 | $1,134.01 | $1,737.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $11,851.00 / $28,970.26
| Facility | | $8,639.91 | $11,851.00 | $28,970.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,014.03 / $1,598.77 / $2,127.26
| Professional | | $1,014.03 | $1,598.77 | $2,127.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,095.57 / $1,480.23 / $2,317.29
| Professional | | $1,095.57 | $1,480.23 | $2,317.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,356.65 / $1,803.74 / $1,803.74
| Professional | | $1,356.65 | $1,803.74 | $1,803.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,335.81 / $6,335.81 / $23,462.99
| Facility | | $6,335.81 | $6,335.81 | $23,462.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,029.33 / $5,342.00 / $10,247.00
| Facility | | $1,029.33 | $5,342.00 | $10,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $997.67 / $1,186.30 / $2,843.00
| Professional | | $997.67 | $1,186.30 | $2,843.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $1,308.50 / $2,901.60
| Professional | | $6.00 | $1,308.50 | $2,901.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,097.65 / $1,489.89 / $2,506.59
| Professional | | $1,097.65 | $1,489.89 | $2,506.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $980.49 / $1,134.68 / $1,246.35
| Facility | | $980.49 | $1,134.68 | $1,246.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $980.49 / $1,144.74 / $1,246.35
| Professional | | $980.49 | $1,144.74 | $1,246.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $3,914.00 / $7,000.00
| Facility | | $2,332.00 | $3,914.00 | $7,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,057.47 / $1,394.34 / $2,330.16
| Professional | | $1,057.47 | $1,394.34 | $2,330.16 |