- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.59 / $1,496.37 / $5,570.00
| Facility | | $50.59 | $1,496.37 | $5,570.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $368.30 / $569.64 / $591.21
| Facility | 50 | $368.30 | $569.64 | $591.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.10 / $47.75 / $104.66
| Professional | | $32.10 | $47.75 | $104.66 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $62.34 / $102.01 / $192.70
| Professional | 50 | $62.34 | $102.01 | $192.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,529.00 / $2,971.00 / $4,707.00
| Facility | | $1,529.00 | $2,971.00 | $4,707.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.58 / $44.91 / $72.31
| Professional | | $32.58 | $44.91 | $72.31 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $48.65 / $64.81 / $95.45
| Professional | 50 | $48.65 | $64.81 | $95.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.91 / $57.28 / $78.25
| Facility | | $46.91 | $57.28 | $78.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.51 / $62.18 / $101.05
| Professional | | $39.51 | $62.18 | $101.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $293.00 / $1,158.00 / $2,720.00
| Facility | | $293.00 | $1,158.00 | $2,720.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.94 / $65.66 / $108.28
| Professional | | $44.94 | $65.66 | $108.28 |