- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.83 / $2,747.00 / $5,454.00
| Facility | | $52.83 | $2,747.00 | $5,454.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.46 / $62.14 / $126.13
| Professional | | $48.46 | $62.14 | $126.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.76 / $612.10 / $2,713.00
| Facility | | $79.76 | $612.10 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.30 / $70.52 / $264.24
| Professional | | $30.30 | $70.52 | $264.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.76 / $54.20 / $95.80
| Facility | | $41.76 | $54.20 | $95.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.29 / $72.41 / $99.39
| Professional | | $53.29 | $72.41 | $99.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.09 / $73.81 / $143.03
| Professional | | $48.09 | $73.81 | $143.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.72 / $168.26 / $6,679.00
| Facility | | $42.72 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.99 / $52.01 / $71.79
| Professional | | $41.99 | $52.01 | $71.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.83 / $88.27 / $125.56
| Professional | | $43.83 | $88.27 | $125.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.20 / $65.34 / $76.20
| Professional | | $26.20 | $65.34 | $76.20 |
- 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
- $49.71 / $90.45 / $884.15
| Professional | | $49.71 | $90.45 | $884.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $1,790.00 / $2,733.00
| Facility | | $500.00 | $1,790.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.67 / $76.83 / $123.97
| Professional | | $47.67 | $76.83 | $123.97 |