- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $183.48 / $9,523.60 / $146,419.01
| Facility | | $183.48 | $9,523.60 | $146,419.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $221.93
| Professional | | $183.48 | $183.48 | $221.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.10 / $491.73 / $917.40
| Facility | | $163.10 | $491.73 | $917.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $184.71 / $7,591.34
| Professional | | $183.48 | $184.71 | $7,591.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $196.69 / $225.31 / $437.78
| Facility | | $196.69 | $225.31 | $437.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.05 / $183.48 / $183.48
| Facility | | $180.05 | $183.48 | $183.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $183.65
| Professional | | $183.48 | $183.48 | $183.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $183.41 / $289.79 / $8,090.00
| Facility | | $183.41 | $289.79 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $183.48
| Professional | | $183.48 | $183.48 | $183.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $212.36
| Professional | | $183.48 | $183.48 | $212.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,187.38 / $5,968.33 / $22,052.46
| Facility | | $3,187.38 | $5,968.33 | $22,052.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.06 / $917.40 / $917.40
| Facility | | $244.06 | $917.40 | $917.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $194.49 / $7,591.34
| Professional | | $183.48 | $194.49 | $7,591.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $255.80 / $255.80 / $255.80
| Facility | | $255.80 | $255.80 | $255.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $183.48 / $183.48 / $237.66
| Professional | | $183.48 | $183.48 | $237.66 |