- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,017.00 / $5,382.00 / $17,054.00
| Facility | | $1,017.00 | $5,382.00 | $17,054.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.81 / $45.31 / $242.33
| Professional | | $41.81 | $45.31 | $242.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,759.00 / $4,505.00 / $9,119.00
| Facility | | $1,759.00 | $4,505.00 | $9,119.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.61 / $70.65 / $129.71
| Professional | | $44.61 | $70.65 | $129.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.30 / $100.00 / $5,770.07
| Facility | | $57.30 | $100.00 | $5,770.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.76 / $54.77 / $119.92
| Professional | | $38.76 | $54.77 | $119.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.67 / $59.33 / $152.01
| Professional | | $47.67 | $59.33 | $152.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.65 / $46.83 / $63.11
| Professional | | $33.65 | $46.83 | $63.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.15 / $54.66 / $101.36
| Professional | | $42.15 | $54.66 | $101.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.48 / $1,300.00 / $1,300.00
| Facility | | $173.48 | $1,300.00 | $1,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $515.00 / $515.00 / $515.00
| Professional | | $515.00 | $515.00 | $515.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.11 / $69.28 / $154.02
| Facility | | $50.11 | $69.28 | $154.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.61 / $59.05 / $135.34
| Professional | | $47.61 | $59.05 | $135.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.36 / $150.36 / $150.36
| Professional | | $150.36 | $150.36 | $150.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $526.00 / $1,523.00 / $6,920.00
| Facility | | $526.00 | $1,523.00 | $6,920.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.31 / $57.40 / $131.68
| Professional | | $40.31 | $57.40 | $131.68 |