- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.48 / $1,688.00 / $6,012.00
| Facility | | $67.48 | $1,688.00 | $6,012.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.27 / $58.02 / $200.00
| Professional | | $33.27 | $58.02 | $200.00 |
- 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
- $71.86 / $110.94 / $132.76
| Professional | | $71.86 | $110.94 | $132.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.90 / $69.09 / $115.56
| Professional | | $45.90 | $69.09 | $115.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.80 / $110.31 / $114.09
| Professional | | $85.80 | $110.31 | $114.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $220.92 / $241.41 / $1,013.87
| Facility | | $220.92 | $241.41 | $1,013.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.00 / $1,830.08 / $7,197.00
| Facility | | $428.00 | $1,830.08 | $7,197.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.27 / $68.84 / $385.40
| Professional | | $38.27 | $68.84 | $385.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,702.21 / $1,702.21 / $1,702.21
| Facility | | $1,702.21 | $1,702.21 | $1,702.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.80 / $61.80 / $65.70
| Professional | | $61.80 | $61.80 | $65.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.48 / $92.48 / $92.48
| Facility | | $92.48 | $92.48 | $92.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.27 / $71.18 / $126.69
| Professional | | $49.27 | $71.18 | $126.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.24 / $53.38 / $70.77
| Facility | | $41.24 | $53.38 | $70.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.30 / $57.34 / $74.93
| Professional | | $51.30 | $57.34 | $74.93 |
- 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
- $60.44 / $77.90 / $138.93
| Professional | | $60.44 | $77.90 | $138.93 |