- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.52 / $2,079.00 / $3,685.00
| Facility | | $20.52 | $2,079.00 | $3,685.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.66 / $20.82 / $51.10
| Professional | | $12.66 | $20.82 | $51.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.44 / $627.00 / $2,733.00
| Facility | | $39.44 | $627.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.94 / $37.00 / $3,511.94
| Professional | | $17.94 | $37.00 | $3,511.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $24.69 / $43.56
| Facility | | $18.98 | $24.69 | $43.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.60 / $32.61 / $68.89
| Professional | | $18.60 | $32.61 | $68.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.62 / $168.26 / $6,679.00
| Facility | | $19.62 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.79 / $33.43 / $46.15
| Professional | | $26.79 | $33.43 | $46.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.48 / $42.86 / $66.23
| Professional | | $20.48 | $42.86 | $66.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $653.35 / $1,145.16 / $1,810.69
| Facility | | $653.35 | $1,145.16 | $1,810.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.10 / $154.10 / $154.10
| Professional | | $154.10 | $154.10 | $154.10 |
- 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
- $30.06 / $46.72 / $3,930.43
| Professional | | $30.06 | $46.72 | $3,930.43 |
- 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
- $25.44 / $38.90 / $72.29
| Professional | | $25.44 | $38.90 | $72.29 |