- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $299.29 / $1,473.20 / $3,363.00
| Facility | | $299.29 | $1,473.20 | $3,363.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,009.09 / $1,009.09 / $1,009.09
| Facility | 50 | $1,009.09 | $1,009.09 | $1,009.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.70 / $51.47 / $135.96
| Professional | | $32.70 | $51.47 | $135.96 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $102.01 / $360.00 / $498.00
| Professional | 50 | $102.01 | $360.00 | $498.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $536.38 / $2,713.00
| Facility | | $55.00 | $536.38 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.51 / $77.41 / $245.68
| Professional | | $37.51 | $77.41 | $245.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.38 / $48.03 / $85.75
| Facility | | $37.38 | $48.03 | $85.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.70 / $74.23 / $117.01
| Professional | | $47.70 | $74.23 | $117.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.70 / $73.95 / $127.64
| Professional | | $43.70 | $73.95 | $127.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.97 / $126.79 / $6,679.00
| Facility | | $38.97 | $126.79 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.96 / $69.00 / $94.05
| Professional | | $56.96 | $69.00 | $94.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.58 / $89.53 / $152.00
| Professional | | $42.58 | $89.53 | $152.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.46 / $74.09 / $104.00
| Professional | | $45.46 | $74.09 | $104.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.74 / $105.74 / $364.96
| Professional | | $54.74 | $105.74 | $364.96 |
- 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
- $48.95 / $75.95 / $140.01
| Professional | | $48.95 | $75.95 | $140.01 |