- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.60 / $1,091.78 / $2,747.00
| Facility | | $50.60 | $1,091.78 | $2,747.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $142.34 / $458.95 / $1,453.58
| Facility | 50 | $142.34 | $458.95 | $1,453.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.77 / $58.18 / $152.06
| Professional | | $34.77 | $58.18 | $152.06 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $78.81 / $212.92 / $286.13
| Professional | 50 | $78.81 | $212.92 | $286.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.48 / $536.38 / $2,713.00
| Facility | | $57.48 | $536.38 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.24 / $83.82 / $390.80
| Professional | | $40.24 | $83.82 | $390.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.95 / $52.62 / $93.94
| Facility | | $40.95 | $52.62 | $93.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.65 / $76.59 / $121.44
| Professional | | $46.65 | $76.59 | $121.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.14 / $77.73 / $137.55
| Professional | | $45.14 | $77.73 | $137.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.77 / $129.69 / $6,679.00
| Facility | | $41.77 | $129.69 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.93 / $75.02 / $103.19
| Professional | | $61.93 | $75.02 | $103.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.02 / $96.77 / $154.65
| Professional | | $46.02 | $96.77 | $154.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.54 / $554.78 / $1,209.27
| Facility | | $144.54 | $554.78 | $1,209.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.77 / $89.64 / $140.54
| Professional | | $47.77 | $89.64 | $140.54 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $38.39 / $38.39 / $38.39
| Professional | 50 | $38.39 | $38.39 | $38.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.55 / $111.35 / $390.80
| Professional | | $57.55 | $111.35 | $390.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.29 / $60.24 / $104.94
| Professional | | $44.29 | $60.24 | $104.94 |
- 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
- $53.68 / $81.26 / $159.22
| Professional | | $53.68 | $81.26 | $159.22 |