- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.07 / $3,383.64 / $5,375.51
| Facility | | $82.07 | $3,383.64 | $5,375.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.22 / $82.07 / $210.20
| Professional | | $75.22 | $82.07 | $210.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,736.00 / $4,444.00 / $15,949.31
| Facility | | $3,736.00 | $4,444.00 | $15,949.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.70 / $117.14 / $155.81
| Professional | | $71.70 | $117.14 | $155.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $325.33 / $343.86 / $411.98
| Professional | | $325.33 | $343.86 | $411.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.15 / $122.48 / $125.87
| Professional | | $93.15 | $122.48 | $125.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533.58 / $3,277.68 / $5,217.33
| Facility | | $533.58 | $3,277.68 | $5,217.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $243.74 / $3,899.51 / $5,375.51
| Facility | | $243.74 | $3,899.51 | $5,375.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.22 / $92.43 / $243.74
| Professional | | $75.22 | $92.43 | $243.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.30 / $97.00 / $212.20
| Professional | | $85.30 | $97.00 | $212.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $325.33 / $343.86 / $411.98
| Professional | | $325.33 | $343.86 | $411.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.93 / $81.09 / $106.78
| Facility | | $69.93 | $81.09 | $106.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.93 / $81.09 / $106.78
| Professional | | $69.93 | $81.09 | $106.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $814.00 / $2,391.00 / $4,789.00
| Facility | | $814.00 | $2,391.00 | $4,789.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.30 / $98.52 / $169.12
| Professional | | $75.30 | $98.52 | $169.12 |