- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.20 / $2,070.00 / $7,629.00
| Facility | | $78.20 | $2,070.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.27 / $62.31 / $122.57
| Professional | | $38.27 | $62.31 | $122.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,299.82 / $2,746.00 / $13,822.74
| Facility | | $2,299.82 | $2,746.00 | $13,822.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.63 / $128.06 / $135.66
| Professional | | $77.63 | $128.06 | $135.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.19 / $73.06 / $123.40
| Professional | | $43.19 | $73.06 | $123.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.17 / $121.08 / $125.34
| Professional | | $94.17 | $121.08 | $125.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $594.00 / $2,326.00 / $8,017.00
| Facility | | $594.00 | $2,326.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.52 / $70.58 / $293.51
| Professional | | $39.52 | $70.58 | $293.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.40 / $78.40 / $78.40
| Professional | | $78.40 | $78.40 | $78.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.58 / $74.58 / $74.58
| Facility | | $74.58 | $74.58 | $74.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.22 / $73.23 / $126.85
| Professional | | $43.22 | $73.23 | $126.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.44 / $43.70 / $80.06
| Facility | | $40.44 | $43.70 | $80.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.88 / $62.11 / $85.85
| Professional | | $41.88 | $62.11 | $85.85 |
- 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
- $66.62 / $84.04 / $146.78
| Professional | | $66.62 | $84.04 | $146.78 |