- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $488.00 / $2,172.00 / $7,513.00
| Facility | | $488.00 | $2,172.00 | $7,513.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.00 / $51.00 / $75.25
| Professional | | $51.00 | $51.00 | $75.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145.03 / $277.82 / $623.79
| Facility | | $145.03 | $277.82 | $623.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.21 / $31.21 / $31.21
| Professional | | $31.21 | $31.21 | $31.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,249.15 / $2,249.15 / $2,249.15
| Facility | | $2,249.15 | $2,249.15 | $2,249.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $207.00 / $207.00 / $207.00
| Professional | | $207.00 | $207.00 | $207.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $55.00
| Facility | | $55.00 | $55.00 | $55.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $379.30 / $379.30 / $390.73
| Professional | | $379.30 | $379.30 | $390.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.00 / $103.64 / $144.76
| Facility | | $51.00 | $103.64 | $144.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.04 / $107.04 / $107.04
| Professional | | $107.04 | $107.04 | $107.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.14 / $136.68 / $223.32
| Professional | | $126.14 | $136.68 | $223.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.00 / $107.04 / $144.76
| Facility | | $51.00 | $107.04 | $144.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.04 / $107.04 / $207.00
| Professional | | $107.04 | $107.04 | $207.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.00 / $950.00 / $2,376.00
| Facility | | $157.00 | $950.00 | $2,376.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $250.78
| Professional | | $150.00 | $150.00 | $250.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.04 / $121.83 / $151.38
| Professional | | $107.04 | $121.83 | $151.38 |