- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.21 / $2,671.00 / $4,806.64
| Facility | | $38.21 | $2,671.00 | $4,806.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.46 / $99.06 / $269.24
| Professional | | $45.46 | $99.06 | $269.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.12 / $355.54 / $2,713.00
| Facility | | $108.12 | $355.54 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.91 / $146.06 / $450.86
| Professional | | $51.91 | $146.06 | $450.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.44 / $72.06 / $141.37
| Facility | | $55.44 | $72.06 | $141.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.23 / $137.60 / $305.63
| Professional | | $72.23 | $137.60 | $305.63 |
- 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
- $54.51 / $138.21 / $331.44
| Professional | | $54.51 | $138.21 | $331.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.94 / $176.21 / $6,679.00
| Facility | | $55.94 | $176.21 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.63 / $170.58 / $236.16
| Professional | | $134.63 | $170.58 | $236.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.39 / $147.87 / $328.29
| Professional | | $59.39 | $147.87 | $328.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $103.59 / $163.91 / $194.84
| Professional | | $103.59 | $163.91 | $194.84 |
- 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
- $105.03 / $231.04 / $871.60
| Professional | | $105.03 | $231.04 | $871.60 |
- 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
- $80.83 / $172.39 / $304.24
| Professional | | $80.83 | $172.39 | $304.24 |