- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.77 / $2,070.00 / $7,629.00
| Facility | | $182.77 | $2,070.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.72 / $165.00 / $242.59
| Professional | | $43.72 | $165.00 | $242.59 |
- 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
- $156.40 / $302.88 / $366.85
| Professional | | $156.40 | $302.88 | $366.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.43 / $176.77 / $388.09
| Professional | | $53.43 | $176.77 | $388.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $216.05 / $286.26 / $296.61
| Professional | | $216.05 | $286.26 | $296.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $345.84 / $345.84 / $1,363.07
| Facility | | $345.84 | $345.84 | $1,363.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $594.00 / $2,326.00 / $8,017.00
| Facility | | $594.00 | $2,326.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.72 / $168.97 / $541.80
| Professional | | $43.72 | $168.97 | $541.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $226.60 / $269.89 / $3,336.80
| Professional | | $226.60 | $269.89 | $3,336.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.97 / $192.36 / $400.47
| Professional | | $54.97 | $192.36 | $400.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.65 / $54.44 / $210.50
| Facility | | $48.65 | $54.44 | $210.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.65 / $182.18 / $200.60
| Professional | | $48.65 | $182.18 | $200.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $226.00 / $557.00 / $3,742.00
| Facility | | $226.00 | $557.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $181.70 / $251.42 / $403.02
| Professional | | $181.70 | $251.42 | $403.02 |