- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.64 / $1,294.00 / $3,363.00
| Facility | | $58.64 | $1,294.00 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.39 / $68.45 / $235.00
| Professional | | $28.39 | $68.45 | $235.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.22 / $232.25 / $2,713.00
| Facility | | $58.22 | $232.25 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.41 / $85.17 / $440.80
| Professional | | $30.41 | $85.17 | $440.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.46 / $37.00 / $67.93
| Facility | | $28.46 | $37.00 | $67.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.95 / $63.22 / $114.57
| Professional | | $40.95 | $63.22 | $114.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.29 / $83.27 / $146.81
| Professional | | $38.29 | $83.27 | $146.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.17 / $89.96 / $6,679.00
| Facility | | $29.17 | $89.96 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.55 / $53.05 / $84.50
| Professional | | $27.55 | $53.05 | $84.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.49 / $67.81 / $119.76
| Professional | | $31.49 | $67.81 | $119.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.14 / $220.29 / $292.62
| Facility | | $116.14 | $220.29 | $292.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.10 / $72.00 / $93.26
| Professional | | $39.10 | $72.00 | $93.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $1,078.00 / $3,445.00
| Facility | | $55.00 | $1,078.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.49 / $131.94 / $440.80
| Professional | | $61.49 | $131.94 | $440.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.07 / $91.63 / $166.29
| Professional | | $54.07 | $91.63 | $166.29 |