- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.84 / $2,747.00 / $8,113.00
| Facility | | $46.84 | $2,747.00 | $8,113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.81 / $61.09 / $84.82
| Professional | | $44.81 | $61.09 | $84.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.51 / $1,395.00 / $12,759.45
| Facility | | $1,083.51 | $1,395.00 | $12,759.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.23 / $84.30 / $136.74
| Professional | | $81.23 | $84.30 | $136.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.37 / $75.41 / $128.54
| Professional | | $47.37 | $75.41 | $128.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.39 / $126.50 / $130.88
| Professional | | $98.39 | $126.50 | $130.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $477.00 / $477.00 / $477.00
| Facility | | $477.00 | $477.00 | $477.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $657.00 / $4,761.00 / $8,247.00
| Facility | | $657.00 | $4,761.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.81 / $67.18 / $306.62
| Professional | | $44.81 | $67.18 | $306.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.80 / $97.80 / $103.70
| Professional | | $97.80 | $97.80 | $103.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.45 / $88.45 / $88.45
| Facility | | $88.45 | $88.45 | $88.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.05 / $77.72 / $140.79
| Professional | | $49.05 | $77.72 | $140.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.07 / $56.34 / $80.76
| Facility | | $51.07 | $56.34 | $80.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.07 / $77.26 / $84.78
| Professional | | $51.07 | $77.26 | $84.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $674.00 / $4,300.00
| Facility | | $144.00 | $674.00 | $4,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.67 / $87.57 / $140.25
| Professional | | $66.67 | $87.57 | $140.25 |