- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.12 / $1,387.87 / $3,103.52
| Facility | | $275.12 | $1,387.87 | $3,103.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.10 / $248.51 / $495.86
| Professional | | $103.10 | $248.51 | $495.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.30 / $1,177.70 / $3,472.00
| Facility | | $173.30 | $1,177.70 | $3,472.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.14 / $365.60 / $970.38
| Professional | | $120.14 | $365.60 | $970.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.67 / $158.91 / $315.98
| Facility | | $123.67 | $158.91 | $315.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $167.82 / $430.03 / $703.99
| Professional | | $167.82 | $430.03 | $703.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.99 / $275.89 / $650.77
| Professional | | $144.99 | $275.89 | $650.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.97 / $300.00 / $6,679.00
| Facility | | $107.97 | $300.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $300.64 / $366.80 / $508.50
| Professional | | $300.64 | $366.80 | $508.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $144.63 / $317.85 / $763.79
| Professional | | $144.63 | $317.85 | $763.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $884.64 / $1,234.84 / $2,143.82
| Facility | | $884.64 | $1,234.84 | $2,143.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $167.68 / $328.97 / $362.00
| Professional | | $167.68 | $328.97 | $362.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,600.00 / $7,161.00
| Facility | | $55.00 | $1,600.00 | $7,161.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $284.98 / $502.71 / $1,870.48
| Professional | | $284.98 | $502.71 | $1,870.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,106.00 / $2,408.00 / $5,683.00
| Facility | | $1,106.00 | $2,408.00 | $5,683.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $276.26 / $417.68 / $902.95
| Professional | | $276.26 | $417.68 | $902.95 |