- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.47 / $989.25 / $6,012.00
| Facility | | $73.47 | $989.25 | $6,012.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.18 / $131.21 / $266.73
| Professional | | $43.18 | $131.21 | $266.73 |
- 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
- $143.22 / $259.37 / $306.77
| Professional | | $143.22 | $259.37 | $306.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.03 / $160.84 / $324.33
| Professional | | $53.03 | $160.84 | $324.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $197.10 / $260.94 / $270.89
| Professional | | $197.10 | $260.94 | $270.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.47 / $333.54 / $1,143.66
| Facility | | $125.47 | $333.54 | $1,143.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $159.40 / $1,419.94 / $7,175.00
| Facility | | $159.40 | $1,419.94 | $7,175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.18 / $131.21 / $470.23
| Professional | | $44.18 | $131.21 | $470.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $188.20 / $224.00 / $464.20
| Professional | | $188.20 | $224.00 | $464.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.23 / $169.13 / $334.83
| Professional | | $54.23 | $169.13 | $334.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.66 / $54.08 / $176.02
| Facility | | $48.66 | $54.08 | $176.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.66 / $162.96 / $179.02
| Professional | | $48.66 | $162.96 | $179.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $577.00 / $3,742.00
| Facility | | $162.00 | $577.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.76 / $194.02 / $335.34
| Professional | | $150.76 | $194.02 | $335.34 |