- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.64 / $850.00 / $3,103.52
| Facility | | $105.64 | $850.00 | $3,103.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.44 / $70.50 / $166.68
| Professional | | $39.44 | $70.50 | $166.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.85 / $627.00 / $3,445.00
| Facility | | $98.85 | $627.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.61 / $101.61 / $421.68
| Professional | | $46.61 | $101.61 | $421.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.68 / $61.27 / $109.38
| Facility | | $47.68 | $61.27 | $109.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.39 / $91.04 / $149.27
| Professional | | $60.39 | $91.04 | $149.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.38 / $89.31 / $170.03
| Professional | | $53.38 | $89.31 | $170.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.55 / $120.49 / $6,679.00
| Facility | | $48.55 | $120.49 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.27 / $83.91 / $115.35
| Professional | | $69.27 | $83.91 | $115.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.33 / $112.09 / $173.74
| Professional | | $53.33 | $112.09 | $173.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $307.83 / $477.90 / $775.82
| Facility | | $307.83 | $477.90 | $775.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.31 / $99.17 / $147.58
| Professional | | $51.31 | $99.17 | $147.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $203.78 / $1,818.00 / $5,000.00
| Facility | | $203.78 | $1,818.00 | $5,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.95 / $128.93 / $632.14
| Professional | | $68.95 | $128.93 | $632.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.45 / $385.62 / $565.80
| Facility | | $41.45 | $385.62 | $565.80 |
- 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
- $64.63 / $93.62 / $181.98
| Professional | | $64.63 | $93.62 | $181.98 |