- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.00 / $1,919.00 / $3,469.00
| Facility | | $134.00 | $1,919.00 | $3,469.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.72 / $111.06 / $350.49
| Professional | | $65.72 | $111.06 | $350.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.91 / $1,878.00 / $7,161.00
| Facility | | $203.91 | $1,878.00 | $7,161.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.49 / $189.30 / $606.08
| Professional | | $92.49 | $189.30 | $606.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.64 / $129.53 / $228.57
| Facility | | $99.64 | $129.53 | $228.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $131.27 / $201.22 / $277.19
| Professional | | $131.27 | $201.22 | $277.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $96.75 / $170.99 / $342.48
| Professional | | $96.75 | $170.99 | $342.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.32 / $181.68 / $6,679.00
| Facility | | $85.32 | $181.68 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.35 / $179.09 / $247.79
| Professional | | $141.35 | $179.09 | $247.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.81 / $217.65 / $374.03
| Professional | | $102.81 | $217.65 | $374.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.88 / $1,767.00 / $4,500.62
| Facility | | $160.88 | $1,767.00 | $4,500.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $102.62 / $186.03 / $217.65
| Professional | | $102.62 | $186.03 | $217.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $427.12 / $2,078.00 / $11,500.00
| Facility | | $427.12 | $2,078.00 | $11,500.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.56 / $233.42 / $913.84
| Professional | | $134.56 | $233.42 | $913.84 |
- 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
- $109.38 / $177.85 / $386.61
| Professional | | $109.38 | $177.85 | $386.61 |