- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.01 / $2,747.00 / $4,806.64
| Facility | | $35.01 | $2,747.00 | $4,806.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.14 / $88.86 / $228.61
| Professional | | $36.14 | $88.86 | $228.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.22 / $355.54 / $2,713.00
| Facility | | $101.22 | $355.54 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.76 / $136.31 / $426.63
| Professional | | $48.76 | $136.31 | $426.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.07 / $67.69 / $132.78
| Facility | | $52.07 | $67.69 | $132.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.84 / $129.83 / $289.45
| Professional | | $67.84 | $129.83 | $289.45 |
- 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
- $51.19 / $128.93 / $315.62
| Professional | | $51.19 | $128.93 | $315.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.97 / $131.69 / $6,679.00
| Facility | | $52.97 | $131.69 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $127.31 / $161.29 / $223.94
| Professional | | $127.31 | $161.29 | $223.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.30 / $139.66 / $311.32
| Professional | | $55.30 | $139.66 | $311.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.03 / $158.93 / $199.23
| Professional | | $72.03 | $158.93 | $199.23 |
- 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
- $93.93 / $216.06 / $820.72
| Professional | | $93.93 | $216.06 | $820.72 |
- 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
- $87.67 / $163.57 / $320.70
| Professional | | $87.67 | $163.57 | $320.70 |