- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.00 / $537.00 / $2,747.00
| Facility | | $52.00 | $537.00 | $2,747.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $566.84 / $749.57 / $1,927.50
| Facility | 50 | $566.84 | $749.57 | $1,927.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.72 / $62.40 / $160.71
| Professional | | $35.72 | $62.40 | $160.71 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $104.36 / $230.79 / $316.55
| Professional | 50 | $104.36 | $230.79 | $316.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.85 / $627.00 / $3,445.00
| Facility | | $85.85 | $627.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.93 / $88.89 / $398.32
| Professional | | $41.93 | $88.89 | $398.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.12 / $54.12 / $96.62
| Facility | | $42.12 | $54.12 | $96.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.99 / $78.56 / $138.13
| Professional | | $47.99 | $78.56 | $138.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.15 / $80.50 / $143.33
| Professional | | $47.15 | $80.50 | $143.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.96 / $133.59 / $6,679.00
| Facility | | $42.96 | $133.59 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.08 / $76.41 / $105.05
| Professional | | $63.08 | $76.41 | $105.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.31 / $99.48 / $158.47
| Professional | | $47.31 | $99.48 | $158.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.19 / $398.35 / $754.51
| Facility | | $187.19 | $398.35 | $754.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.41 / $88.28 / $144.54
| Professional | | $48.41 | $88.28 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $179.74 / $1,818.00 / $15,000.00
| Facility | | $179.74 | $1,818.00 | $15,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.59 / $116.28 / $398.32
| Professional | | $59.59 | $116.28 | $398.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.21 / $221.62 / $556.97
| Facility | | $30.21 | $221.62 | $556.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.15 / $59.72 / $107.64
| Professional | | $46.15 | $59.72 | $107.64 |
- 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
- $56.97 / $84.15 / $166.18
| Professional | | $56.97 | $84.15 | $166.18 |