- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.79 / $1,411.87 / $3,363.00
| Facility | | $45.79 | $1,411.87 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.63 / $45.79 / $144.75
| Professional | | $18.63 | $45.79 | $144.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.16 / $355.54 / $2,713.00
| Facility | | $52.16 | $355.54 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.79 / $95.83 / $303.35
| Professional | | $23.79 | $95.83 | $303.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.85 / $32.31 / $63.37
| Facility | | $24.85 | $32.31 | $63.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.12 / $33.36 / $134.88
| Professional | | $23.12 | $33.36 | $134.88 |
- 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
- $24.67 / $79.20 / $223.65
| Professional | | $24.67 | $79.20 | $223.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.92 / $116.01 / $6,679.00
| Facility | | $25.92 | $116.01 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.37 / $115.77 / $161.16
| Professional | | $91.37 | $115.77 | $161.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.03 / $84.95 / $222.77
| Professional | | $27.03 | $84.95 | $222.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.63 / $263.12 / $327.75
| Facility | | $184.63 | $263.12 | $327.75 |
- 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
- $63.98 / $132.35 / $587.76
| Professional | | $63.98 | $132.35 | $587.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.18 / $50.18 / $52.85
| Professional | | $50.18 | $50.18 | $52.85 |
- 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
- $48.91 / $104.56 / $215.85
| Professional | | $48.91 | $104.56 | $215.85 |