- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $480.00 / $2,240.00 / $7,629.00
| Facility | | $480.00 | $2,240.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.27 / $41.26 / $65.70
| Professional | | $39.27 | $41.26 | $65.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.41 / $46.09 / $75.69
| Professional | | $44.41 | $46.09 | $75.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.96 / $51.00 / $103.49
| Professional | | $40.96 | $51.00 | $103.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.88 / $66.70 / $68.86
| Professional | | $51.88 | $66.70 | $68.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,371.00 / $8,017.00
| Facility | | $617.00 | $2,371.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.27 / $45.63 / $1,234.00
| Professional | | $39.27 | $45.63 | $1,234.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $106.00 / $106.00 / $112.40
| Professional | | $106.00 | $106.00 | $112.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.02 / $51.02 / $51.02
| Facility | | $51.02 | $51.02 | $51.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.26 / $51.00 / $103.49
| Professional | | $41.26 | $51.00 | $103.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.11 / $45.11 / $101.08
| Facility | | $45.11 | $45.11 | $101.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.11 / $45.77 / $101.08
| Professional | | $45.11 | $45.77 | $101.08 |
- 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
- $40.27 / $51.40 / $93.08
| Professional | | $40.27 | $51.40 | $93.08 |