- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.95 / $2,079.00 / $3,625.00
| Facility | | $41.95 | $2,079.00 | $3,625.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.81 / $41.95 / $98.42
| Professional | | $22.81 | $41.95 | $98.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.04 / $947.00 / $2,713.00
| Facility | | $59.04 | $947.00 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.43 / $73.16 / $219.70
| Professional | | $29.43 | $73.16 | $219.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.25 / $39.33 / $77.14
| Facility | | $30.25 | $39.33 | $77.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.53 / $77.29 / $147.49
| Professional | | $43.53 | $77.29 | $147.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.53 / $68.95 / $153.32
| Professional | | $30.53 | $68.95 | $153.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.51 / $168.26 / $6,679.00
| Facility | | $31.51 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.43 / $82.54 / $113.94
| Professional | | $65.43 | $82.54 | $113.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.77 / $72.09 / $173.23
| Professional | | $32.77 | $72.09 | $173.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $329.51 / $329.51 / $329.51
| Facility | | $329.51 | $329.51 | $329.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.18 / $104.99 / $427.52
| Professional | | $58.18 | $104.99 | $427.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.23 / $78.53 / $162.32
| Professional | | $52.23 | $78.53 | $162.32 |