- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $425.00 / $2,128.00 / $7,316.00
| Facility | | $425.00 | $2,128.00 | $7,316.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.28 / $105.16 / $158.06
| Professional | | $43.28 | $105.16 | $158.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.00 / $1,779.00 / $8,317.00
| Facility | | $264.00 | $1,779.00 | $8,317.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.38 / $110.05 / $223.43
| Professional | | $47.38 | $110.05 | $223.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.65 / $46.65 / $46.65
| Facility | | $46.65 | $46.65 | $46.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.40 / $158.34 / $281.25
| Professional | | $62.40 | $158.34 | $281.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.66 / $244.39 / $244.39
| Facility | | $234.66 | $244.39 | $244.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $493.48 / $1,057.75 / $1,192.28
| Professional | | $493.48 | $1,057.75 | $1,192.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $129.55 / $247.38
| Facility | | $50.00 | $129.55 | $247.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.18 / $151.22 / $240.57
| Professional | | $65.18 | $151.22 | $240.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.09 / $161.12 / $318.06
| Professional | | $56.09 | $161.12 | $318.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.04 / $129.55 / $303.13
| Facility | | $50.04 | $129.55 | $303.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.48 / $167.54 / $290.27
| Professional | | $63.48 | $167.54 | $290.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.00 / $950.00 / $2,376.00
| Facility | | $157.00 | $950.00 | $2,376.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $135.51 / $182.86 / $293.88
| Professional | | $135.51 | $182.86 | $293.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $117.33 / $131.94 / $186.18
| Professional | | $117.33 | $131.94 | $186.18 |