- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.18 / $2,769.52 / $18,711.00
| Facility | | $320.18 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $161.19 / $192.76 / $458.68
| Professional | | $161.19 | $192.76 | $458.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.16 / $909.12 / $1,739.05
| Facility | | $150.16 | $909.12 | $1,739.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $254.74 / $422.04 / $1,594.28
| Professional | | $254.74 | $422.04 | $1,594.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.86 / $4,005.00 / $8,593.00
| Facility | | $231.86 | $4,005.00 | $8,593.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $228.15 / $360.28 / $527.99
| Professional | | $228.15 | $360.28 | $527.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $217.29 / $359.93 / $1,048.72
| Facility | | $217.29 | $359.93 | $1,048.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $217.29 / $359.93 / $464.74
| Professional | | $217.29 | $359.93 | $464.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.96 / $261.73 / $431.18
| Professional | | $40.96 | $261.73 | $431.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.99 / $334.90 / $358.45
| Facility | | $265.99 | $334.90 | $358.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.16 / $237.83 / $244.50
| Facility | | $150.16 | $237.83 | $244.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $256.89 / $407.83 / $501.46
| Professional | | $256.89 | $407.83 | $501.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $694.43 / $926.46 / $1,739.05
| Facility | | $694.43 | $926.46 | $1,739.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $242.55 / $351.71 / $473.74
| Professional | | $242.55 | $351.71 | $473.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.00 / $666.00 / $6,216.00
| Facility | | $190.00 | $666.00 | $6,216.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $227.92 / $394.48 / $539.72
| Professional | | $227.92 | $394.48 | $539.72 |