- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $2,747.00 / $8,017.00
| Facility | | $832.00 | $2,747.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $432.16 / $531.65 / $700.55
| Professional | | $432.16 | $531.65 | $700.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,531.00 / $27,840.00 / $46,480.74
| Facility | | $13,531.00 | $27,840.00 | $46,480.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $586.19 / $608.30 / $608.30
| Professional | | $586.19 | $608.30 | $608.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $528.99 / $730.21 / $1,182.58
| Professional | | $528.99 | $730.21 | $1,182.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $717.96 / $964.08 / $964.08
| Professional | | $717.96 | $964.08 | $964.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $934.00 / $3,120.00 / $8,017.00
| Facility | | $934.00 | $3,120.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $473.46 / $609.20 / $2,605.00
| Professional | | $473.46 | $609.20 | $2,605.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $656.80 / $1,504.80
| Professional | | $4.00 | $656.80 | $1,504.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $534.61 / $730.21 / $1,199.63
| Professional | | $534.61 | $730.21 | $1,199.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $579.85 / $579.85 / $608.04
| Facility | | $579.85 | $579.85 | $608.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $556.84 / $587.86 / $615.29
| Professional | | $556.84 | $587.86 | $615.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $625.00 / $2,391.00 / $6,322.00
| Facility | | $625.00 | $2,391.00 | $6,322.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $514.92 / $697.52 / $1,187.46
| Professional | | $514.92 | $697.52 | $1,187.46 |