- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.49 / $2,455.84 / $7,307.00
| Facility | | $63.49 | $2,455.84 | $7,307.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.27 / $63.49 / $216.25
| Professional | | $33.27 | $63.49 | $216.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,393.00 / $4,142.00 / $9,074.00
| Facility | | $2,393.00 | $4,142.00 | $9,074.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.13 / $67.47 / $139.24
| Professional | | $48.13 | $67.47 | $139.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.11 / $1,254.00 / $4,050.00
| Facility | | $78.11 | $1,254.00 | $4,050.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.11 / $78.11 / $103.89
| Professional | | $78.11 | $78.11 | $103.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.48 / $92.48 / $14,648.00
| Facility | | $92.48 | $92.48 | $14,648.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.09 / $82.44 / $185.36
| Professional | | $42.09 | $82.44 | $185.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.00 / $65.20 / $332.00
| Facility | | $23.00 | $65.20 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.26 / $98.10 / $208.12
| Professional | | $84.26 | $98.10 | $208.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.86 / $67.45 / $134.25
| Professional | | $35.86 | $67.45 | $134.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.48 / $555.00 / $74,999.25
| Facility | | $92.48 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.27 / $96.70 / $202.41
| Professional | | $49.27 | $96.70 | $202.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $964.00 / $2,826.00 / $4,851.00
| Facility | | $964.00 | $2,826.00 | $4,851.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.87 / $83.62 / $184.35
| Professional | | $46.87 | $83.62 | $184.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.16 / $58.16 / $104.40
| Facility | | $58.16 | $58.16 | $104.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.86 / $78.00 / $171.11
| Professional | | $35.86 | $78.00 | $171.11 |