- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $416.87 / $1,513.56
| Facility | | $57.54 | $416.87 | $1,513.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.18 / $223.87 / $398.11
| Professional | | $69.18 | $223.87 | $398.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.02 / $0.02 / $0.03
| Professional | | $0.02 | $0.02 | $0.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $794.33 / $794.33 / $53,703.18
| Facility | | $794.33 | $794.33 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.74 / $346.74 / $346.74
| Professional | | $346.74 | $346.74 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Professional | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $295.12 / $776.25
| Facility | | $288.40 | $295.12 | $776.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $53,703.18 / $75,857.76
| Facility | | $50,118.72 | $53,703.18 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $549.54 / $794.33 / $1,000.00
| Facility | | $549.54 | $794.33 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $257.04 / $257.04
| Facility | | $257.04 | $257.04 | $257.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $218.78 / $257.04 / $758.58
| Professional | | $218.78 | $257.04 | $758.58 |