- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $235.49 / $2,070.00 / $7,629.00
| Facility | | $235.49 | $2,070.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.79 / $147.86 / $237.54
| Professional | | $41.79 | $147.86 | $237.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $198.77 / $206.27 / $340.43
| Professional | | $198.77 | $206.27 | $340.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.98 / $74.98 / $74.98
| Facility | | $74.98 | $74.98 | $74.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.11 / $163.96 / $326.89
| Professional | | $45.11 | $163.96 | $326.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $242.28 / $313.11 / $414.17
| Professional | | $242.28 | $313.11 | $414.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,326.00 / $8,017.00
| Facility | | $617.00 | $2,326.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.08 / $156.76 / $485.11
| Professional | | $42.08 | $156.76 | $485.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $187.50 / $319.70 / $479.30
| Professional | | $187.50 | $319.70 | $479.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.98 / $74.98 / $201.76
| Facility | | $74.98 | $74.98 | $201.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.64 / $163.96 / $325.64
| Professional | | $45.64 | $163.96 | $325.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.82 / $119.59 / $306.19
| Facility | | $43.82 | $119.59 | $306.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.82 / $204.33 / $226.46
| Professional | | $43.82 | $204.33 | $226.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $1,078.00 / $3,742.00
| Facility | | $144.00 | $1,078.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $172.40 / $231.34 / $380.18
| Professional | | $172.40 | $231.34 | $380.18 |