- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $918.00 / $2,747.00 / $8,017.00
| Facility | | $918.00 | $2,747.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $394.99 / $455.53 / $712.37
| Professional | | $394.99 | $455.53 | $712.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,292.00 / $5,951.00 / $9,100.00
| Facility | | $3,292.00 | $5,951.00 | $9,100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $457.64 / $474.91 / $896.37
| Professional | | $457.64 | $474.91 | $896.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $517.42 / $517.42 / $517.42
| Facility | | $517.42 | $517.42 | $517.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $431.74 / $564.57 / $927.06
| Professional | | $431.74 | $564.57 | $927.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $537.77 / $713.91 / $928.87
| Professional | | $537.77 | $713.91 | $928.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.00 / $3,077.00 / $8,017.00
| Facility | | $954.00 | $3,077.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $394.99 / $527.73 / $2,514.25
| Professional | | $394.99 | $527.73 | $2,514.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $464.10 / $464.10 / $960.00
| Professional | | $464.10 | $464.10 | $960.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $517.42 / $517.42 / $517.42
| Facility | | $517.42 | $517.42 | $517.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $432.16 / $575.74 / $930.56
| Professional | | $432.16 | $575.74 | $930.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $445.00 / $449.53 / $449.53
| Facility | | $445.00 | $449.53 | $449.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $439.45 / $449.53 / $476.44
| Professional | | $439.45 | $449.53 | $476.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,334.00 / $2,824.00 / $5,678.00
| Facility | | $1,334.00 | $2,824.00 | $5,678.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $450.01 / $594.79 / $882.28
| Professional | | $450.01 | $594.79 | $882.28 |