- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.51 / $811.51 / $5,410.16
| Facility | | $37.51 | $811.51 | $5,410.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.57 / $33.64 / $137.10
| Professional | | $15.57 | $33.64 | $137.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,298.89 / $3,041.12 / $46,895.43
| Facility | | $2,298.89 | $3,041.12 | $46,895.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.51 / $1,395.00 / $12,759.45
| Facility | | $1,083.51 | $1,395.00 | $12,759.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.07 / $63.72 / $74.48
| Professional | | $39.07 | $63.72 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.52 / $36.35 / $63.25
| Professional | | $22.52 | $36.35 | $63.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.58 / $59.89 / $61.77
| Professional | | $46.58 | $59.89 | $61.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.78 / $84.65 / $348.92
| Facility | | $30.78 | $84.65 | $348.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,931.66 / $3,001.19 / $30,854.74
| Facility | | $1,931.66 | $3,001.19 | $30,854.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.48 / $1,301.00 / $7,048.49
| Facility | | $55.48 | $1,301.00 | $7,048.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.84 / $37.15 / $251.99
| Professional | | $19.84 | $37.15 | $251.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.00 / $34.00 / $35.70
| Professional | | $34.00 | $34.00 | $35.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.43 / $42.43 / $42.43
| Facility | | $42.43 | $42.43 | $42.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.14 / $38.24 / $71.51
| Professional | | $23.14 | $38.24 | $71.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.25 / $24.77 / $38.69
| Facility | | $21.25 | $24.77 | $38.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.84 / $32.57 / $41.13
| Professional | | $23.84 | $32.57 | $41.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $674.00 / $4,300.00
| Facility | | $144.00 | $674.00 | $4,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.85 / $41.45 / $77.62
| Professional | | $31.85 | $41.45 | $77.62 |