- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $133.26 / $1,473.20 / $3,363.00
| Facility | | $133.26 | $1,473.20 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.08 / $133.26 / $298.98
| Professional | | $38.08 | $133.26 | $298.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.62 / $502.00 / $2,733.00
| Facility | | $108.62 | $502.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.15 / $260.22 / $626.16
| Professional | | $54.15 | $260.22 | $626.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.22 / $71.79 / $140.81
| Facility | | $55.22 | $71.79 | $140.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.22 / $110.22 / $413.69
| Professional | | $110.22 | $110.22 | $413.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.20 / $259.41 / $527.58
| Professional | | $86.20 | $259.41 | $527.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $100.68 / $8,090.00
| Facility | | $53.00 | $100.68 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $195.67 / $247.25 / $442.07
| Professional | | $195.67 | $247.25 | $442.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.87 / $194.55 / $456.36
| Professional | | $60.87 | $194.55 | $456.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $324.86 / $1,551.52 / $1,982.25
| Facility | | $324.86 | $1,551.52 | $1,982.25 |
- 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
- $207.69 / $383.52 / $1,211.20
| Professional | | $207.69 | $383.52 | $1,211.20 |
- 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
- $191.38 / $272.13 / $601.23
| Professional | | $191.38 | $272.13 | $601.23 |