- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.36 / $511.50 / $2,900.01
| Facility | | $39.36 | $511.50 | $2,900.01 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,518.34 / $1,518.34 / $1,518.34
| Facility | 50 | $1,518.34 | $1,518.34 | $1,518.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.50 / $52.72 / $100.09
| Professional | | $35.50 | $52.72 | $100.09 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $51.17 / $122.78 / $411.00
| Professional | 50 | $51.17 | $122.78 | $411.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.13 / $54.82 / $69.45
| Professional | | $47.13 | $54.82 | $69.45 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $35.47 / $78.05 / $100.46
| Professional | 50 | $35.47 | $78.05 | $100.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,013.00 / $8,584.00 / $11,253.00
| Facility | | $3,013.00 | $8,584.00 | $11,253.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.90 / $48.16 / $72.09
| Professional | | $33.90 | $48.16 | $72.09 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $50.85 / $72.23 / $108.15
| Professional | 50 | $50.85 | $72.23 | $108.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.00 / $45.90 / $56.10
| Facility | | $34.00 | $45.90 | $56.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.51 / $59.53 / $79.38
| Professional | | $44.51 | $59.53 | $79.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.56 / $62.56 / $64.30
| Facility | | $62.56 | $62.56 | $64.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.47 / $67.75 / $105.46
| Professional | | $44.47 | $67.75 | $105.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.21 / $32.34 / $64.48
| Professional | | $21.21 | $32.34 | $64.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $668.00 / $3,176.00
| Facility | | $50.00 | $668.00 | $3,176.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.92 / $71.64 / $104.78
| Professional | | $49.92 | $71.64 | $104.78 |