- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $657.00 / $2,747.00 / $9,534.00
| Facility | | $657.00 | $2,747.00 | $9,534.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $357.59 / $410.05 / $511.75
| Professional | | $357.59 | $410.05 | $511.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $334.44 / $619.03 / $804.79
| Professional | | $334.44 | $619.03 | $804.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,570.00 / $7,646.00 / $10,557.00
| Facility | | $6,570.00 | $7,646.00 | $10,557.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $393.46 / $546.54 / $823.28
| Professional | | $393.46 | $546.54 | $823.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $545.25 / $545.25 / $563.40
| Professional | | $545.25 | $545.25 | $563.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $806.00 / $3,340.00 / $10,303.00
| Facility | | $806.00 | $3,340.00 | $10,303.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $361.49 / $438.55 / $3,327.00
| Professional | | $361.49 | $438.55 | $3,327.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $960.60 / $960.60 / $960.60
| Professional | | $960.60 | $960.60 | $960.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,624.00 / $7,278.00 / $10,557.00
| Facility | | $5,624.00 | $7,278.00 | $10,557.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $417.99 / $576.66 / $847.31
| Professional | | $417.99 | $576.66 | $847.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $377.37 / $377.37 / $494.25
| Facility | | $377.37 | $377.37 | $494.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $366.35 / $378.88 / $494.25
| Professional | | $366.35 | $378.88 | $494.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $650.00 / $3,742.00
| Facility | | $144.00 | $650.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $403.50 / $546.62 / $796.65
| Professional | | $403.50 | $546.62 | $796.65 |