- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.79 / $2,070.00 / $7,629.00
| Facility | | $80.79 | $2,070.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.39 / $49.94 / $81.68
| Professional | | $34.39 | $49.94 | $81.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.51 / $1,395.00 / $12,759.45
| Facility | | $1,083.51 | $1,395.00 | $12,759.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.39 / $84.89 / $116.17
| Professional | | $63.39 | $84.89 | $116.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.74 / $72.20 / $132.00
| Professional | | $41.74 | $72.20 | $132.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.11 / $114.13 / $116.32
| Professional | | $86.11 | $114.13 | $116.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $849.31 / $849.31 / $849.31
| Facility | | $849.31 | $849.31 | $849.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $540.00 / $2,326.00 / $8,017.00
| Facility | | $540.00 | $2,326.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.70 / $65.77 / $363.44
| Professional | | $35.70 | $65.77 | $363.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $68.20 / $193.70
| Professional | | $4.00 | $68.20 | $193.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.44 / $73.59 / $135.21
| Professional | | $42.44 | $73.59 | $135.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.04 / $64.53 / $99.75
| Facility | | $38.04 | $64.53 | $99.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.04 / $69.47 / $75.78
| Professional | | $38.04 | $69.47 | $75.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $577.00 / $3,742.00
| Facility | | $162.00 | $577.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.77 / $81.78 / $133.84
| Professional | | $59.77 | $81.78 | $133.84 |