- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $265.19 / $2,168.00
| Facility | | $65.00 | $265.19 | $2,168.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.97 / $191.53 / $402.76
| Professional | | $62.97 | $191.53 | $402.76 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $93.56 / $97.85 / $287.30
| Professional | 50 | $93.56 | $97.85 | $287.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.98 / $54.99 / $3,730.80
| Facility | | $0.98 | $54.99 | $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
- $129.18 / $392.13 / $872.78
| Professional | | $129.18 | $392.13 | $872.78 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $188.58 / $531.99 / $1,309.17
| Professional | 50 | $188.58 | $531.99 | $1,309.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $592.34 / $924.49 / $2,223.98
| Facility | | $592.34 | $924.49 | $2,223.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $141.08 / $407.48 / $1,038.52
| Professional | | $141.08 | $407.48 | $1,038.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $529.96 / $845.21 / $1,751.18
| Facility | | $529.96 | $845.21 | $1,751.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $139.68 / $377.88 / $876.38
| Professional | | $139.68 | $377.88 | $876.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.06 / $276.16 / $942.22
| Facility | | $78.06 | $276.16 | $942.22 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $1,883.60 / $1,883.60 / $1,883.60
| Facility | 50 | $1,883.60 | $1,883.60 | $1,883.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $209.62 / $383.24 / $954.56
| Professional | | $209.62 | $383.24 | $954.56 |
- 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
- $211.99 / $377.92 / $722.38
| Professional | | $211.99 | $377.92 | $722.38 |