- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.63 / $2,769.52 / $18,711.00
| Facility | | $68.63 | $2,769.52 | $18,711.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.96 / $48.40 / $99.04
| Professional | | $34.96 | $48.40 | $99.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,518.34 / $5,772.11 / $12,000.00
| Facility | | $3,518.34 | $5,772.11 | $12,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.54 / $92.96 / $914.31
| Professional | | $53.54 | $92.96 | $914.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,364.71 / $1,364.71 / $2,273.59
| Facility | | $1,364.71 | $1,364.71 | $2,273.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.63 / $77.22 / $112.54
| Professional | | $49.63 | $77.22 | $112.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.56 / $88.07 / $5,453.39
| Facility | | $50.56 | $88.07 | $5,453.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.56 / $84.94 / $1,531.84
| Professional | | $50.56 | $84.94 | $1,531.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $55.70 / $90.87
| Professional | | $8.78 | $55.70 | $90.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.72 / $72.20 / $77.52
| Facility | | $54.72 | $72.20 | $77.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.74 / $51.18 / $839.66
| Facility | | $50.74 | $51.18 | $839.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.54 / $85.38 / $104.98
| Professional | | $53.54 | $85.38 | $104.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,211.81 / $5,768.81 / $11,041.39
| Facility | | $4,211.81 | $5,768.81 | $11,041.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.74 / $73.63 / $99.18
| Professional | | $51.74 | $73.63 | $99.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,550.00 / $2,431.00 / $11,261.00
| Facility | | $1,550.00 | $2,431.00 | $11,261.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.50 / $80.89 / $111.50
| Professional | | $48.50 | $80.89 | $111.50 |