- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.98 / $1,273.00 / $3,103.52
| Facility | | $79.98 | $1,273.00 | $3,103.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.62 / $130.26 / $386.10
| Professional | | $47.62 | $130.26 | $386.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $137.79 / $818.35 / $3,804.00
| Facility | | $137.79 | $818.35 | $3,804.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.42 / $195.35 / $549.32
| Professional | | $60.42 | $195.35 | $549.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.48 / $86.21 / $165.62
| Facility | | $67.48 | $86.21 | $165.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $87.05 / $187.98 / $390.38
| Professional | | $87.05 | $187.98 | $390.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.44 / $171.45 / $403.00
| Professional | | $63.44 | $171.45 | $403.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.98 / $168.26 / $6,679.00
| Facility | | $65.98 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $171.25 / $216.97 / $301.63
| Professional | | $171.25 | $216.97 | $301.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.22 / $183.99 / $419.07
| Professional | | $69.22 | $183.99 | $419.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.76 / $404.80 / $726.94
| Facility | | $269.76 | $404.80 | $726.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $215.88 / $484.76 / $484.76
| Professional | | $215.88 | $484.76 | $484.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,600.00 / $7,161.00
| Facility | | $55.00 | $1,600.00 | $7,161.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $168.36 / $250.23 / $1,100.80
| Professional | | $168.36 | $250.23 | $1,100.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,106.00 / $2,408.00 / $5,683.00
| Facility | | $1,106.00 | $2,408.00 | $5,683.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $148.69 / $223.21 / $484.46
| Professional | | $148.69 | $223.21 | $484.46 |