- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $594.00 / $2,422.00 / $7,799.00
| Facility | | $594.00 | $2,422.00 | $7,799.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $45.93 / $70.54
| Professional | | $8.00 | $45.93 | $70.54 |
- 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
- $17.48 / $20.56 / $34.44
| Professional | | $17.48 | $20.56 | $34.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.19 / $34.19 / $40.96
| Professional | | $34.19 | $34.19 | $40.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.90 / $45.90 / $168.86
| Professional | | $45.90 | $45.90 | $168.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $641.00 / $2,371.00 / $8,017.00
| Facility | | $641.00 | $2,371.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $53.77 / $1,234.00
| Professional | | $8.32 | $53.77 | $1,234.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $60.20
| Professional | | $55.00 | $55.00 | $60.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.19 / $34.19 / $40.96
| Professional | | $34.19 | $34.19 | $40.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.02 / $34.02 / $34.02
| Facility | | $34.02 | $34.02 | $34.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.02 / $34.70 / $36.52
| Professional | | $34.02 | $34.70 | $36.52 |
- 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
- $18.03 / $25.15 / $60.14
| Professional | | $18.03 | $25.15 | $60.14 |