- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.38 / $2,782.41 / $7,307.00
| Facility | | $31.38 | $2,782.41 | $7,307.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.26 / $29.69 / $58.64
| Professional | | $21.26 | $29.69 | $58.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,691.00 / $3,382.00 / $4,707.00
| Facility | | $1,691.00 | $3,382.00 | $4,707.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.58 / $30.73 / $68.80
| Professional | | $24.58 | $30.73 | $68.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.36 / $1,254.00 / $6,213.00
| Facility | | $35.36 | $1,254.00 | $6,213.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.36 / $35.36 / $46.35
| Professional | | $35.36 | $35.36 | $46.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.41 / $42.41 / $14,648.00
| Facility | | $42.41 | $42.41 | $14,648.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.89 / $38.09 / $82.76
| Professional | | $18.89 | $38.09 | $82.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.00 / $30.75 / $332.00
| Facility | | $15.00 | $30.75 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.85 / $43.88 / $91.98
| Professional | | $37.85 | $43.88 | $91.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.61 / $30.91 / $59.80
| Professional | | $21.61 | $30.91 | $59.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,221.50 / $2,221.50 / $2,221.50
| Facility | | $2,221.50 | $2,221.50 | $2,221.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.41 / $555.00 / $74,999.25
| Facility | | $42.41 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.19 / $42.09 / $87.56
| Professional | | $23.19 | $42.09 | $87.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $964.00 / $2,826.00 / $4,851.00
| Facility | | $964.00 | $2,826.00 | $4,851.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.99 / $40.06 / $87.55
| Professional | | $22.99 | $40.06 | $87.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.60 / $26.60 / $50.96
| Facility | | $26.60 | $26.60 | $50.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.61 / $34.74 / $76.22
| Professional | | $21.61 | $34.74 | $76.22 |