- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.20 / $1,803.00 / $3,363.00
| Facility | | $20.20 | $1,803.00 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.12 / $23.01 / $113.97
| Professional | | $16.12 | $23.01 | $113.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.63 / $736.00 / $2,796.00
| Facility | | $47.63 | $736.00 | $2,796.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.63 / $53.21 / $294.02
| Professional | | $20.63 | $53.21 | $294.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.17 / $30.12 / $53.15
| Facility | | $23.17 | $30.12 | $53.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.39 / $43.73 / $63.11
| Professional | | $30.39 | $43.73 | $63.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.69 / $50.88 / $98.55
| Professional | | $36.69 | $50.88 | $98.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $168.26 / $6,679.00
| Facility | | $23.99 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.64 / $37.40 / $66.95
| Professional | | $29.64 | $37.40 | $66.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.61 / $53.32 / $76.47
| Professional | | $25.61 | $53.32 | $76.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.12 / $312.80 / $879.48
| Facility | | $54.12 | $312.80 | $879.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.00 / $31.00 / $31.00
| Professional | | $31.00 | $31.00 | $31.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,078.00 / $3,445.00
| Facility | | $55.00 | $1,078.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.78 / $73.02 / $294.02
| Professional | | $33.78 | $73.02 | $294.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.18 / $48.89 / $84.56
| Professional | | $31.18 | $48.89 | $84.56 |