- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.25 / $1,473.20 / $3,363.00
| Facility | | $106.25 | $1,473.20 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.87 / $48.57 / $135.44
| Professional | | $26.87 | $48.57 | $135.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.59 / $170.67 / $2,713.00
| Facility | | $72.59 | $170.67 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.19 / $78.52 / $240.24
| Professional | | $36.19 | $78.52 | $240.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.69 / $51.60 / $91.73
| Facility | | $39.69 | $51.60 | $91.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.22 / $81.02 / $220.63
| Professional | | $45.22 | $81.02 | $220.63 |
- 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
- $40.81 / $78.86 / $168.47
| Professional | | $40.81 | $78.86 | $168.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.83 / $168.26 / $6,679.00
| Facility | | $39.83 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.73 / $82.03 / $114.10
| Professional | | $64.73 | $82.03 | $114.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.54 / $85.84 / $157.32
| Professional | | $40.54 | $85.84 | $157.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.86 / $137.16 / $602.83
| Facility | | $27.86 | $137.16 | $602.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.00 / $124.00 / $124.00
| Professional | | $124.00 | $124.00 | $124.00 |
- 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
- $53.61 / $97.69 / $416.80
| Professional | | $53.61 | $97.69 | $416.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.00 / $1,078.00 / $2,733.00
| Facility | | $308.00 | $1,078.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.04 / $75.88 / $154.38
| Professional | | $41.04 | $75.88 | $154.38 |