- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.03 / $989.00 / $6,012.00
| Facility | | $68.03 | $989.00 | $6,012.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.18 / $229.18 / $478.19
| Professional | | $37.18 | $229.18 | $478.19 |
- 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
- $242.98 / $485.97 / $801.07
| Professional | | $242.98 | $485.97 | $801.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.95 / $277.00 / $664.80
| Professional | | $45.95 | $277.00 | $664.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $338.99 / $449.45 / $467.92
| Professional | | $338.99 | $449.45 | $467.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.82 / $607.12 / $844.14
| Facility | | $225.82 | $607.12 | $844.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.93 / $1,519.00 / $7,175.00
| Facility | | $296.93 | $1,519.00 | $7,175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.61 / $270.89 / $881.88
| Professional | | $37.61 | $270.89 | $881.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $237.00 / $442.50 / $872.50
| Professional | | $237.00 | $442.50 | $872.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.47 / $285.86 / $664.80
| Professional | | $46.47 | $285.86 | $664.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.68 / $46.72 / $403.83
| Facility | | $41.68 | $46.72 | $403.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.68 / $287.99 / $320.39
| Professional | | $41.68 | $287.99 | $320.39 |
- 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
- $320.19 / $435.48 / $796.66
| Professional | | $320.19 | $435.48 | $796.66 |