- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.34 / $91.14 / $2,042.00
| Facility | | $50.34 | $91.14 | $2,042.00 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $2,554.73 / $2,554.73 / $2,554.73
| Facility | 50 | $2,554.73 | $2,554.73 | $2,554.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.64 / $84.73 / $140.72
| Professional | | $49.64 | $84.73 | $140.72 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $120.60 / $380.48 / $403.76
| Professional | 50 | $120.60 | $380.48 | $403.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $42.61 / $3,730.80
| Facility | | $0.98 | $42.61 | $3,730.80 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $0.02 / $1.50 / $1.50
| Facility | 50 | $0.02 | $1.50 | $1.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.39 / $175.24 / $320.26
| Professional | | $97.39 | $175.24 | $320.26 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $142.46 / $262.86 / $465.98
| Professional | 50 | $142.46 | $262.86 | $465.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.29 / $322.50 / $775.81
| Facility | | $227.29 | $322.50 | $775.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $108.75 / $198.58 / $377.92
| Professional | | $108.75 | $198.58 | $377.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.87 / $294.83 / $610.88
| Facility | | $184.87 | $294.83 | $610.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.67 / $185.40 / $346.33
| Professional | | $107.67 | $185.40 | $346.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.66 / $125.43 / $250.85
| Facility | | $69.66 | $125.43 | $250.85 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,673.62 / $1,673.62 / $1,673.62
| Facility | 50 | $1,673.62 | $1,673.62 | $1,673.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.88 / $179.06 / $387.28
| Professional | | $95.88 | $179.06 | $387.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $382.00 / $1,727.00 / $2,883.00
| Facility | | $382.00 | $1,727.00 | $2,883.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $95.24 / $169.73 / $342.26
| Professional | | $95.24 | $169.73 | $342.26 |