- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.00 / $1,541.00 / $7,175.00
| Facility | | $264.00 | $1,541.00 | $7,175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.18 / $62.09 / $82.95
| Professional | | $27.18 | $62.09 | $82.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.09 / $110.38 / $121.08
| Professional | | $68.09 | $110.38 | $121.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.61 / $63.98 / $126.45
| Professional | | $29.61 | $63.98 | $126.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.31 / $105.83 / $109.05
| Professional | | $82.31 | $105.83 | $109.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.77 / $294.77 / $986.00
| Facility | | $294.77 | $294.77 | $986.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.43 / $70.89 / $74.34
| Professional | | $64.43 | $70.89 | $74.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $530.29 / $2,070.00 / $7,799.00
| Facility | | $530.29 | $2,070.00 | $7,799.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.93 / $64.01 / $197.95
| Professional | | $27.93 | $64.01 | $197.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.56 / $80.20 / $99.37
| Professional | | $28.56 | $80.20 | $99.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.58 / $51.58 / $51.58
| Facility | | $51.58 | $51.58 | $51.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.99 / $67.34 / $126.45
| Professional | | $29.99 | $67.34 | $126.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.93 / $36.15 / $77.33
| Facility | | $29.93 | $36.15 | $77.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.93 / $68.04 / $74.52
| Professional | | $29.93 | $68.04 | $74.52 |
- 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
- $63.23 / $80.48 / $136.69
| Professional | | $63.23 | $80.48 | $136.69 |