- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $190.04 / $2,202.00 / $7,175.00
| Facility | | $190.04 | $2,202.00 | $7,175.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.57 / $97.15 / $177.56
| Professional | | $51.57 | $97.15 | $177.56 |
- 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
- $106.61 / $158.28 / $224.72
| Professional | | $106.61 | $158.28 | $224.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.90 / $89.90 / $89.90
| Facility | | $89.90 | $89.90 | $89.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.30 / $107.62 / $199.50
| Professional | | $60.30 | $107.62 | $199.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $118.59 / $167.35 / $218.18
| Professional | | $118.59 | $167.35 | $218.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177.29 / $392.62 / $2,724.80
| Facility | | $177.29 | $392.62 | $2,724.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $592.50 / $2,543.00 / $8,017.00
| Facility | | $592.50 | $2,543.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.24 / $110.66 / $293.77
| Professional | | $53.24 | $110.66 | $293.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.67 / $137.30 / $220.62
| Professional | | $70.67 | $137.30 | $220.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.90 / $89.90 / $89.90
| Facility | | $89.90 | $89.90 | $89.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.22 / $108.64 / $201.95
| Professional | | $60.22 | $108.64 | $201.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.32 / $69.91 / $132.75
| Facility | | $54.32 | $69.91 | $132.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.32 / $107.00 / $116.23
| Professional | | $54.32 | $107.00 | $116.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $650.00 / $3,742.00
| Facility | | $162.00 | $650.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.63 / $154.25 / $221.31
| Professional | | $108.63 | $154.25 | $221.31 |