- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $415.49 / $2,747.00 / $8,247.00
| Facility | | $415.49 | $2,747.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $330.97 / $377.97 / $430.02
| Professional | | $330.97 | $377.97 | $430.02 |
- 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
- $365.62 / $379.41 / $732.60
| Professional | | $365.62 | $379.41 | $732.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.90 / $419.90 / $419.90
| Facility | | $419.90 | $419.90 | $419.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $325.56 / $325.56 / $325.56
| Professional | | $325.56 | $325.56 | $325.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $419.51 / $555.61 / $724.60
| Professional | | $419.51 | $555.61 | $724.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $4,761.00 / $8,427.00
| Facility | | $832.00 | $4,761.00 | $8,427.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $294.85 / $380.00 / $1,976.56
| Professional | | $294.85 | $380.00 | $1,976.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $745.20 / $926.80 / $926.80
| Professional | | $745.20 | $926.80 | $926.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.90 / $419.90 / $419.90
| Facility | | $419.90 | $419.90 | $419.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $325.56 / $325.56 / $325.56
| Professional | | $325.56 | $325.56 | $325.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.49 / $361.49 / $439.68
| Facility | | $361.49 | $361.49 | $439.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $350.56 / $363.27 / $439.68
| Professional | | $350.56 | $363.27 | $439.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,468.00 / $4,563.00 / $9,631.00
| Facility | | $2,468.00 | $4,563.00 | $9,631.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $344.62 / $449.50 / $705.07
| Professional | | $344.62 | $449.50 | $705.07 |