- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $468.84 / $2,747.00 / $8,017.00
| Facility | | $468.84 | $2,747.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $130.50 / $201.02 / $362.81
| Professional | | $130.50 | $201.02 | $362.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,736.00 / $4,444.00 / $15,949.31
| Facility | | $3,736.00 | $4,444.00 | $15,949.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $226.08 / $234.61 / $401.34
| Professional | | $226.08 | $234.61 | $401.34 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $339.12 / $351.91 / $601.99
| Professional | 50 | $339.12 | $351.91 | $601.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.00 / $358.00 / $358.00
| Facility | | $358.00 | $358.00 | $358.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $128.30 / $206.80 / $347.50
| Professional | | $128.30 | $206.80 | $347.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $279.35 / $279.35 / $360.23
| Professional | | $279.35 | $279.35 | $360.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,503.75 / $4,927.81 / $10,356.37
| Facility | | $2,503.75 | $4,927.81 | $10,356.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $178.88 / $270.48 / $358.28
| Professional | | $178.88 | $270.48 | $358.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.89 / $3,420.93 / $8,247.00
| Facility | | $776.89 | $3,420.93 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.02 / $221.12 / $776.89
| Professional | | $134.02 | $221.12 | $776.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.39 / $316.39 / $316.39
| Professional | | $316.39 | $316.39 | $316.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $358.00 / $358.00 / $358.00
| Facility | | $358.00 | $358.00 | $358.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $133.77 / $203.92 / $328.90
| Professional | | $133.77 | $203.92 | $328.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.85 / $146.88 / $380.83
| Facility | | $141.85 | $146.88 | $380.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.88 / $224.12 / $380.83
| Professional | | $140.88 | $224.12 | $380.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,122.00 / $2,884.00 / $6,000.00
| Facility | | $1,122.00 | $2,884.00 | $6,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $203.11 / $269.75 / $417.31
| Professional | | $203.11 | $269.75 | $417.31 |