- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.32 / $62.14 / $62.30
| Facility | | $50.32 | $62.14 | $62.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.13 / $59.84 / $67.25
| Professional | | $42.13 | $59.84 | $67.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.43 / $46.49 / $77.06
| Professional | | $37.43 | $46.49 | $77.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.92 / $43.10 / $6,213.00
| Facility | | $28.92 | $43.10 | $6,213.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.92 / $43.10 / $72.02
| Professional | | $28.92 | $43.10 | $72.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.77 / $82.77 / $82.77
| Facility | | $82.77 | $82.77 | $82.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.12 / $346.12 / $346.12
| Professional | | $346.12 | $346.12 | $346.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.09 / $69.48 / $332.00
| Facility | | $33.09 | $69.48 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.62 / $118.14 / $160.06
| Professional | | $89.62 | $118.14 | $160.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.76 / $110.64 / $143.09
| Professional | | $73.76 | $110.64 | $143.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.77 / $555.00 / $74,999.25
| Facility | | $82.77 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $346.12 / $346.12 / $346.12
| Professional | | $346.12 | $346.12 | $346.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.35 / $73.61 / $157.43
| Professional | | $54.35 | $73.61 | $157.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.76 / $73.76 / $73.76
| Facility | | $73.76 | $73.76 | $73.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.76 / $113.01 / $154.74
| Professional | | $73.76 | $113.01 | $154.74 |