- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,992.00 / $7,444.00 / $17,902.00
| Facility | | $1,992.00 | $7,444.00 | $17,902.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $423.11 / $586.02 / $2,984.81
| Professional | | $423.11 | $586.02 | $2,984.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,546.00 / $4,617.00 / $9,381.00
| Facility | | $1,546.00 | $4,617.00 | $9,381.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $496.18 / $745.87 / $1,407.46
| Professional | | $496.18 | $745.87 | $1,407.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.00 / $100.00 / $10,377.87
| Facility | | $66.00 | $100.00 | $10,377.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $365.69 / $528.45 / $1,214.64
| Professional | | $365.69 | $528.45 | $1,214.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $705.31 / $1,458.73 / $1,988.34
| Facility | | $705.31 | $1,458.73 | $1,988.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $475.81 / $671.66 / $1,505.97
| Professional | | $475.81 | $671.66 | $1,505.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $692.51 / $831.01 / $1,438.50
| Professional | | $692.51 | $831.01 | $1,438.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $540.54 / $720.24 / $1,356.30
| Professional | | $540.54 | $720.24 | $1,356.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,121.50 / $11,500.00 / $26,542.00
| Facility | | $3,121.50 | $11,500.00 | $26,542.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4,151.12 / $4,279.20 / $4,723.50
| Professional | | $4,151.12 | $4,279.20 | $4,723.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $607.17 / $751.00 / $1,108.72
| Facility | | $607.17 | $751.00 | $1,108.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $491.91 / $712.65 / $1,543.25
| Professional | | $491.91 | $712.65 | $1,543.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,852.02 / $1,852.02 / $1,852.02
| Professional | | $1,852.02 | $1,852.02 | $1,852.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,190.00 / $7,352.00 / $14,743.00
| Facility | | $3,190.00 | $7,352.00 | $14,743.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $424.61 / $551.03 / $1,230.72
| Professional | | $424.61 | $551.03 | $1,230.72 |