- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $255.28 / $5,324.00 / $14,113.00
| Facility | | $255.28 | $5,324.00 | $14,113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $184.58 / $228.02 / $454.99
| Professional | | $184.58 | $228.02 | $454.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,464.00 / $7,631.00 / $14,193.00
| Facility | | $4,464.00 | $7,631.00 | $14,193.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $261.36 / $315.42 / $538.66
| Professional | | $261.36 | $315.42 | $538.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $283.43 / $283.43 / $12,319.50
| Facility | | $283.43 | $283.43 | $12,319.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $283.43 / $283.43 / $283.43
| Professional | | $283.43 | $283.43 | $283.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.11 / $234.11 / $14,648.00
| Facility | | $234.11 | $234.11 | $14,648.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.33 / $335.43 / $980.69
| Professional | | $204.33 | $335.43 | $980.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $242.09 / $386.21 / $804.25
| Facility | | $242.09 | $386.21 | $804.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $222.60 / $315.43 / $496.92
| Professional | | $222.60 | $315.43 | $496.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.22 / $186.22 / $186.22
| Facility | | $186.22 | $186.22 | $186.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $162.09 / $255.35 / $420.48
| Professional | | $162.09 | $255.35 | $420.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.11 / $555.00 / $37,776.00
| Facility | | $234.11 | $555.00 | $37,776.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $214.45 / $327.61 / $958.10
| Professional | | $214.45 | $327.61 | $958.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $964.00 / $2,826.00 / $4,851.00
| Facility | | $964.00 | $2,826.00 | $4,851.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $189.05 / $288.64 / $696.80
| Professional | | $189.05 | $288.64 | $696.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $335.62 / $335.62 / $978.36
| Facility | | $335.62 | $335.62 | $978.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.46 / $274.33 / $503.87
| Professional | | $173.46 | $274.33 | $503.87 |