- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,017.00 / $5,382.00 / $17,054.00
| Facility | | $1,017.00 | $5,382.00 | $17,054.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $159.50 / $180.95 / $905.96
| Professional | | $159.50 | $180.95 | $905.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,723.00 / $4,505.00 / $9,119.00
| Facility | | $1,723.00 | $4,505.00 | $9,119.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $196.60 / $272.62 / $546.11
| Professional | | $196.60 | $272.62 | $546.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.00 / $100.00 / $5,117.38
| Facility | | $66.00 | $100.00 | $5,117.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.00 / $214.03 / $521.99
| Professional | | $138.00 | $214.03 | $521.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.00 / $3,092.00 / $7,108.00
| Facility | | $358.00 | $3,092.00 | $7,108.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.57 / $225.69 / $676.53
| Professional | | $175.57 | $225.69 | $676.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.26 / $184.63 / $228.65
| Professional | | $134.26 | $184.63 | $228.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $168.87 / $221.03 / $394.01
| Professional | | $168.87 | $221.03 | $394.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $385.80 / $1,300.00
| Facility | | $55.00 | $385.80 | $1,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,232.80 / $1,268.80 / $1,544.03
| Professional | | $1,232.80 | $1,268.80 | $1,544.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.95 / $233.56 / $392.72
| Facility | | $180.95 | $233.56 | $392.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $175.57 / $227.76 / $489.02
| Professional | | $175.57 | $227.76 | $489.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $562.12 / $562.12 / $562.12
| Professional | | $562.12 | $562.12 | $562.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.88 / $171.00 / $209.77
| Professional | | $111.88 | $171.00 | $209.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $545.00 / $1,523.00 / $6,920.00
| Facility | | $545.00 | $1,523.00 | $6,920.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $149.55 / $212.38 / $507.43
| Professional | | $149.55 | $212.38 | $507.43 |