- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $100.00 / $6,606.93
| Facility | | $39.81 | $100.00 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $537.03 / $776.25 / $776.25
| Facility | 50 | $537.03 | $776.25 | $776.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $66.07 / $147.91
| Professional | | $34.67 | $66.07 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $50.12 / $117.49 / $436.52
| Professional | 50 | $50.12 | $117.49 | $436.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $50.12 / $69.18
| Professional | | $29.51 | $50.12 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $36.31 / $74.13 / $117.49
| Professional | 50 | $36.31 | $74.13 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $4,466.84 / $8,709.64
| Facility | | $501.19 | $4,466.84 | $8,709.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $53.70 / $104.71
| Professional | | $30.90 | $53.70 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $46.77 / $79.43 / $154.88
| Professional | 50 | $46.77 | $79.43 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $39.81 / $46.77
| Facility | | $32.36 | $39.81 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.98 / $63.10 / $70.79
| Professional | | $48.98 | $63.10 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $64.57 / $120.23
| Facility | | $45.71 | $64.57 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.15 / $54.95 / $83.18
| Professional | | $37.15 | $54.95 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $2,137.96 / $5,754.40
| Facility | | $245.47 | $2,137.96 | $5,754.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $47.86 / $85.11
| Professional | | $33.11 | $47.86 | $85.11 |