- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.71 / $2,124.00 / $7,513.00
| Facility | | $110.71 | $2,124.00 | $7,513.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.95 / $62.71 / $95.98
| Professional | | $36.95 | $62.71 | $95.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.53 / $1,018.00 / $3,989.00
| Facility | | $226.53 | $1,018.00 | $3,989.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.36 / $68.95 / $127.57
| Professional | | $37.36 | $68.95 | $127.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.03 / $191.02 / $191.02
| Facility | | $38.03 | $191.02 | $191.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.93 / $74.51 / $119.40
| Professional | | $45.93 | $74.51 | $119.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $209.24
| Facility | | $55.00 | $55.00 | $209.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2,932.96 / $3,377.81 / $3,512.93
| Professional | | $2,932.96 | $3,377.81 | $3,512.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.75 / $65.09 / $102.20
| Facility | | $41.75 | $65.09 | $102.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.96 / $84.74 / $143.18
| Professional | | $52.96 | $84.74 | $143.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.41 / $74.12 / $101.85
| Professional | | $41.41 | $74.12 | $101.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.75 / $65.09 / $102.20
| Facility | | $41.75 | $65.09 | $102.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.22 / $76.77 / $128.59
| Professional | | $47.22 | $76.77 | $128.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $952.00 / $2,405.00
| Facility | | $161.00 | $952.00 | $2,405.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.14 / $81.56 / $122.34
| Professional | | $58.14 | $81.56 | $122.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.70 / $74.12 / $103.77
| Professional | | $65.70 | $74.12 | $103.77 |