- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.36 / $3,839.00 / $8,247.00
| Facility | | $41.36 | $3,839.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.11 / $39.29 / $48.44
| Professional | | $34.11 | $39.29 | $48.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.15 / $39.59 / $61.47
| Professional | | $38.15 | $39.59 | $61.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.55 / $43.55 / $43.55
| Facility | | $43.55 | $43.55 | $43.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.39 / $49.35 / $150.00
| Professional | | $36.39 | $49.35 | $150.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.30 / $57.23 / $77.84
| Professional | | $44.30 | $57.23 | $77.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $4,761.00 / $8,247.00
| Facility | | $832.00 | $4,761.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.11 / $41.10 / $203.78
| Professional | | $34.11 | $41.10 | $203.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.80 / $557.79 / $557.79
| Professional | | $51.80 | $557.79 | $557.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.92 / $43.55 / $43.55
| Facility | | $38.92 | $43.55 | $43.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.39 / $48.59 / $151.10
| Professional | | $36.39 | $48.59 | $151.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.11 / $37.11 / $610.03
| Facility | | $37.11 | $37.11 | $610.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.03 / $37.24 / $610.03
| Professional | | $36.03 | $37.24 | $610.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $1,078.00 / $3,742.00
| Facility | | $144.00 | $1,078.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.65 / $48.14 / $299.23
| Professional | | $38.65 | $48.14 | $299.23 |