- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.52 / $2,240.00 / $7,629.00
| Facility | | $446.52 | $2,240.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $164.34 / $234.44 / $446.52
| Professional | | $164.34 | $234.44 | $446.52 |
- 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
- $303.19 / $610.03 / $821.19
| Professional | | $303.19 | $610.03 | $821.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.57 / $275.57 / $275.57
| Professional | | $275.57 | $275.57 | $275.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $358.03 / $472.22 / $472.22
| Professional | | $358.03 | $472.22 | $472.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,371.00 / $8,017.00
| Facility | | $617.00 | $2,371.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $164.93 / $350.34 / $700.00
| Professional | | $164.93 | $350.34 | $700.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,039.80 / $1,039.80 / $1,039.80
| Professional | | $1,039.80 | $1,039.80 | $1,039.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.57 / $275.57 / $275.57
| Professional | | $275.57 | $275.57 | $275.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176.71 / $220.30 / $477.16
| Facility | | $176.71 | $220.30 | $477.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $176.64 / $367.14 / $399.31
| Professional | | $176.64 | $367.14 | $399.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $577.00 / $3,742.00
| Facility | | $162.00 | $577.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $389.94 / $525.59 / $1,079.19
| Professional | | $389.94 | $525.59 | $1,079.19 |