- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.22 / $1,741.00 / $7,175.00
| Facility | | $70.22 | $1,741.00 | $7,175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.72 / $68.56 / $269.72
| Professional | | $43.72 | $68.56 | $269.72 |
- 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
- $79.09 / $82.07 / $143.33
| Professional | | $79.09 | $82.07 | $143.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.29 / $75.97 / $132.55
| Professional | | $46.29 | $75.97 | $132.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $94.19 / $121.10 / $124.54
| Professional | | $94.19 | $121.10 | $124.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.98 / $78.45 / $134.63
| Professional | | $66.98 | $78.45 | $134.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $428.00 / $2,070.00 / $7,799.00
| Facility | | $428.00 | $2,070.00 | $7,799.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.86 / $75.04 / $376.95
| Professional | | $45.86 | $75.04 | $376.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.43 / $96.20 / $111.09
| Professional | | $46.43 | $96.20 | $111.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.79 / $83.79 / $83.79
| Facility | | $83.79 | $83.79 | $83.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.58 / $77.64 / $142.94
| Professional | | $46.58 | $77.64 | $142.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.99 / $70.87 / $104.57
| Facility | | $48.99 | $70.87 | $104.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.99 / $74.95 / $81.64
| Professional | | $48.99 | $74.95 | $81.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $650.00 / $4,300.00
| Facility | | $144.00 | $650.00 | $4,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.09 / $84.83 / $149.08
| Professional | | $68.09 | $84.83 | $149.08 |