- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $474.00 / $2,177.13 / $7,513.00
| Facility | | $474.00 | $2,177.13 | $7,513.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.82 / $57.79 / $86.46
| Professional | | $49.82 | $57.79 | $86.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.50 / $299.31 / $1,166.61
| Facility | | $174.50 | $299.31 | $1,166.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.76 / $41.76 / $43.27
| Facility | | $41.76 | $41.76 | $43.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.01 / $327.04 / $1,487.00
| Facility | | $57.01 | $327.04 | $1,487.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.95 / $70.91 / $114.95
| Professional | | $50.95 | $70.91 | $114.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $1,344.10
| Facility | | $55.00 | $55.00 | $1,344.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $478.82 / $478.82 / $478.82
| Professional | | $478.82 | $478.82 | $478.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.11 / $65.02 / $111.55
| Facility | | $49.11 | $65.02 | $111.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.95 / $68.48 / $85.01
| Professional | | $51.95 | $68.48 | $85.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.44 / $75.31 / $124.30
| Professional | | $46.44 | $75.31 | $124.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.19 / $66.06 / $119.52
| Facility | | $49.19 | $66.06 | $119.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.37 / $79.11 / $129.77
| Professional | | $52.37 | $79.11 | $129.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $1,058.00 / $2,663.00
| Facility | | $161.00 | $1,058.00 | $2,663.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.68 / $57.88 / $90.19
| Professional | | $42.68 | $57.88 | $90.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.31 / $47.38 / $64.04
| Professional | | $40.31 | $47.38 | $64.04 |