- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $512.34 / $1,823.00 / $3,363.00
| Facility | | $512.34 | $1,823.00 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.03 / $174.87 / $305.01
| Professional | | $75.03 | $174.87 | $305.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.98 / $1,483.60 / $7,161.00
| Facility | | $197.98 | $1,483.60 | $7,161.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.40 / $307.05 / $1,998.00
| Professional | | $93.40 | $307.05 | $1,998.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.47 / $127.82 / $254.15
| Facility | | $99.47 | $127.82 | $254.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.73 / $163.63 / $552.94
| Professional | | $31.73 | $163.63 | $552.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.67 / $226.67 / $575.55
| Professional | | $109.67 | $226.67 | $575.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.48 / $251.37 / $6,679.00
| Facility | | $84.48 | $251.37 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $262.74 / $320.56 / $446.51
| Professional | | $262.74 | $320.56 | $446.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $114.90 / $276.89 / $665.37
| Professional | | $114.90 | $276.89 | $665.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $961.17 / $1,039.81 / $1,666.26
| Facility | | $961.17 | $1,039.81 | $1,666.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.10 / $133.10 / $202.48
| Professional | | $133.10 | $133.10 | $202.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.22 / $2,078.00 / $12,000.00
| Facility | | $426.22 | $2,078.00 | $12,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $245.94 / $415.01 / $1,998.00
| Professional | | $245.94 | $415.01 | $1,998.00 |
- 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
- $230.54 / $369.16 / $661.97
| Professional | | $230.54 | $369.16 | $661.97 |