- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $537.03 / $5,370.32 / $8,511.38
| Facility | | $537.03 | $5,370.32 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $134.90 / $380.19
| Professional | | $57.54 | $134.90 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $4,466.84 / $57,543.99
| Facility | | $3,801.89 | $4,466.84 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $169.82 / $245.47
| Professional | | $120.23 | $169.82 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $128.82 / $269.15
| Professional | | $66.07 | $128.82 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $173.78 / $223.87 / $245.47
| Professional | | $173.78 | $223.87 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $151.36 / $234.42
| Professional | | $67.61 | $151.36 | $234.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $3,548.13 / $4,073.80
| Facility | | $3,467.37 | $3,548.13 | $4,073.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $588.84 / $3,981.07 / $8,317.64
| Facility | | $588.84 | $3,981.07 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.26 / $141.25 / $380.19
| Professional | | $60.26 | $141.25 | $380.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $316.23
| Facility | | $100.00 | $100.00 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $100.00 / $257.04 / $309.03
| Professional | | $100.00 | $257.04 | $309.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $134.90 / $158.49
| Facility | | $87.10 | $134.90 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $87.10 / $158.49
| Professional | | $28.84 | $87.10 | $158.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.01 / $2,630.27 / $5,495.41
| Facility | | $912.01 | $2,630.27 | $5,495.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.88 / $112.20 / $213.80
| Professional | | $58.88 | $112.20 | $213.80 |