- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.76 / $2,107.00 / $7,316.00
| Facility | | $87.76 | $2,107.00 | $7,316.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.25 / $45.39 / $72.75
| Professional | | $24.25 | $45.39 | $72.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.14 / $49.72 / $191.00
| Facility | | $30.14 | $49.72 | $191.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.62 / $46.46 / $79.81
| Professional | | $24.62 | $46.46 | $79.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.87 / $73.12 / $73.12
| Facility | | $23.87 | $73.12 | $73.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.76 / $54.53 / $88.08
| Professional | | $28.76 | $54.53 | $88.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $129.68
| Facility | | $55.00 | $55.00 | $129.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $219.70 / $427.52 / $487.88
| Professional | | $219.70 | $427.52 | $487.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.43 / $51.12 / $77.84
| Facility | | $26.43 | $51.12 | $77.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.35 / $51.76 / $105.89
| Professional | | $32.35 | $51.76 | $105.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.85 / $58.50 / $137.61
| Professional | | $26.85 | $58.50 | $137.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.43 / $51.95 / $78.45
| Facility | | $26.43 | $51.95 | $78.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.82 / $55.32 / $95.44
| Professional | | $29.82 | $55.32 | $95.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $952.00 / $2,405.00
| Facility | | $161.00 | $952.00 | $2,405.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.58 / $58.10 / $84.25
| Professional | | $43.58 | $58.10 | $84.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.59 / $54.85 / $76.79
| Professional | | $48.59 | $54.85 | $76.79 |