- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.31 / $56.03 / $3,046.17
| Facility | | $43.31 | $56.03 | $3,046.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.31 / $45.57 / $98.96
| Professional | | $43.31 | $45.57 | $98.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,691.00 / $3,333.00 / $4,636.00
| Facility | | $1,691.00 | $3,333.00 | $4,636.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.34 / $42.64 / $91.90
| Professional | | $34.34 | $42.64 | $91.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.55 / $57.55 / $4,050.00
| Facility | | $57.55 | $57.55 | $4,050.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.55 / $57.55 / $57.55
| Professional | | $57.55 | $57.55 | $57.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.13 / $46.13 / $3,479.91
| Facility | | $46.13 | $46.13 | $3,479.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.13 / $75.18 / $145.33
| Professional | | $32.13 | $75.18 | $145.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.00 / $66.98 / $332.00
| Facility | | $44.00 | $66.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.90 / $54.64 / $81.77
| Professional | | $45.90 | $54.64 | $81.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.90 / $47.04 / $81.20
| Professional | | $32.90 | $47.04 | $81.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.34 / $49.34 / $232.00
| Facility | | $49.34 | $49.34 | $232.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.13 / $555.00 / $3,479.91
| Facility | | $46.13 | $555.00 | $3,479.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.72 / $69.28 / $143.55
| Professional | | $37.72 | $69.28 | $143.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,079.00 / $2,826.00 / $4,851.00
| Facility | | $1,079.00 | $2,826.00 | $4,851.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.65 / $50.82 / $111.27
| Professional | | $37.65 | $50.82 | $111.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.26 / $43.26 / $357.72
| Facility | | $43.26 | $43.26 | $357.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.90 / $53.32 / $102.85
| Professional | | $32.90 | $53.32 | $102.85 |