- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.19 / $2,124.00 / $7,316.00
| Facility | | $88.19 | $2,124.00 | $7,316.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.27 / $54.41 / $82.07
| Professional | | $27.27 | $54.41 | $82.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,845.00 / $2,866.00 / $4,277.00
| Facility | | $1,845.00 | $2,866.00 | $4,277.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.01 / $56.54 / $91.72
| Professional | | $28.01 | $56.54 | $91.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.71 / $24.71 / $71.70
| Facility | | $24.71 | $24.71 | $71.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.03 / $65.66 / $111.55
| Professional | | $32.03 | $65.66 | $111.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $149.66
| Facility | | $55.00 | $55.00 | $149.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $250.50 / $505.12 / $587.92
| Professional | | $250.50 | $505.12 | $587.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.76 / $54.88 / $89.24
| Facility | | $28.76 | $54.88 | $89.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.79 / $58.88 / $126.35
| Professional | | $36.79 | $58.88 | $126.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.88 / $58.62 / $81.68
| Professional | | $25.88 | $58.62 | $81.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.76 / $55.36 / $89.84
| Facility | | $28.76 | $55.36 | $89.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.29 / $68.39 / $121.50
| Professional | | $33.29 | $68.39 | $121.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $952.00 / $2,405.00
| Facility | | $161.00 | $952.00 | $2,405.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.22 / $73.62 / $111.98
| Professional | | $55.22 | $73.62 | $111.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.98 / $65.13 / $91.18
| Professional | | $57.98 | $65.13 | $91.18 |