- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.18 / $1,411.87 / $3,103.52
| Facility | | $149.18 | $1,411.87 | $3,103.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.23 / $182.25 / $487.07
| Professional | | $64.23 | $182.25 | $487.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149.94 / $953.00 / $2,733.00
| Facility | | $149.94 | $953.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.88 / $373.39 / $3,336.50
| Professional | | $81.88 | $373.39 | $3,336.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.34 / $98.14 / $177.42
| Facility | | $77.34 | $98.14 | $177.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.32 / $127.22 / $478.01
| Professional | | $27.32 | $127.22 | $478.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.59 / $195.16 / $573.96
| Professional | | $86.59 | $195.16 | $573.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.08 / $168.26 / $6,679.00
| Facility | | $79.08 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $260.16 / $339.30 / $510.58
| Professional | | $260.16 | $339.30 | $510.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.62 / $225.75 / $627.35
| Professional | | $95.62 | $225.75 | $627.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.75 / $163.41 / $892.57
| Facility | | $154.75 | $163.41 | $892.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.32 / $207.06 / $409.11
| Professional | | $105.32 | $207.06 | $409.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.00 / $954.09 / $2,796.00
| Facility | | $308.00 | $954.09 | $2,796.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $241.12 / $622.09 / $3,336.50
| Professional | | $241.12 | $622.09 | $3,336.50 |
- 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
- $224.48 / $376.33 / $798.04
| Professional | | $224.48 | $376.33 | $798.04 |