- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.38 / $1,886.00 / $3,625.00
| Facility | | $27.38 | $1,886.00 | $3,625.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.74 / $30.22 / $78.79
| Professional | | $15.74 | $30.22 | $78.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.81 / $627.00 / $2,733.00
| Facility | | $40.81 | $627.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.54 / $46.22 / $163.00
| Professional | | $18.54 | $46.22 | $163.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.82 / $24.47 / $47.99
| Facility | | $18.82 | $24.47 | $47.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.00 / $33.33 / $54.83
| Professional | | $16.00 | $33.33 | $54.83 |
- 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
- $19.00 / $41.65 / $87.79
| Professional | | $19.00 | $41.65 | $87.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.63 / $168.26 / $6,679.00
| Facility | | $19.63 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.29 / $45.58 / $62.92
| Professional | | $36.29 | $45.58 | $62.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.48 / $43.36 / $88.91
| Professional | | $20.48 | $43.36 | $88.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.59 / $101.59 / $101.88
| Facility | | $101.59 | $101.59 | $101.88 |
- 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
- $39.14 / $65.40 / $238.08
| Professional | | $39.14 | $65.40 | $238.08 |
- 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
- $35.56 / $49.55 / $88.22
| Professional | | $35.56 | $49.55 | $88.22 |