- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $768.00 / $3,745.00 / $8,017.00
| Facility | | $768.00 | $3,745.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $520.54 / $566.52 / $763.67
| Professional | | $520.54 | $566.52 | $763.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.95 / $7,827.00 / $19,139.18
| Facility | | $6,431.95 | $7,827.00 | $19,139.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $553.74 / $574.64 / $1,022.34
| Professional | | $553.74 | $574.64 | $1,022.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.00 / $549.00 / $549.00
| Facility | | $549.00 | $549.00 | $549.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $444.04 / $583.58 / $998.99
| Professional | | $444.04 | $583.58 | $998.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $667.38 / $667.38 / $860.60
| Professional | | $667.38 | $667.38 | $860.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.00 / $3,964.00 / $8,017.00
| Facility | | $954.00 | $3,964.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $541.83 / $675.77 / $3,494.00
| Professional | | $541.83 | $675.77 | $3,494.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $639.79 / $639.79 / $639.79
| Professional | | $639.79 | $639.79 | $639.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.00 / $549.00 / $549.00
| Facility | | $549.00 | $549.00 | $549.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $447.59 / $595.53 / $998.99
| Professional | | $447.59 | $595.53 | $998.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $543.08 / $543.08 / $578.82
| Facility | | $543.08 | $543.08 | $578.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $532.40 / $543.08 / $578.82
| Professional | | $532.40 | $543.08 | $578.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $637.00 / $2,391.00 / $6,000.00
| Facility | | $637.00 | $2,391.00 | $6,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $484.96 / $598.97 / $1,031.69
| Professional | | $484.96 | $598.97 | $1,031.69 |