- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.75 / $461.01 / $5,350.00
| Facility | | $27.75 | $461.01 | $5,350.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.93 / $50.74 / $136.05
| Professional | | $24.93 | $50.74 | $136.05 |
- 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
- $38.79 / $70.63 / $172.17
| Professional | | $38.79 | $70.63 | $172.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.40 / $51.23 / $97.68
| Professional | | $28.40 | $51.23 | $97.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.56 / $68.28 / $69.63
| Professional | | $51.56 | $68.28 | $69.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.79 / $479.25 / $595.32
| Facility | | $182.79 | $479.25 | $595.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.10 / $1,246.00 / $5,958.00
| Facility | | $49.10 | $1,246.00 | $5,958.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.09 / $55.67 / $145.85
| Professional | | $27.09 | $55.67 | $145.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $30.00 / $121.70
| Professional | | $3.00 | $30.00 | $121.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.02 / $51.72 / $102.14
| Professional | | $29.02 | $51.72 | $102.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.78 / $43.12 / $75.30
| Facility | | $24.78 | $43.12 | $75.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.78 / $42.17 / $48.80
| Professional | | $24.78 | $42.17 | $48.80 |
- 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
- $44.48 / $58.63 / $98.84
| Professional | | $44.48 | $58.63 | $98.84 |