- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.53 / $2,747.00 / $4,806.64
| Facility | | $69.53 | $2,747.00 | $4,806.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.53 / $84.72 / $123.30
| Professional | | $69.53 | $84.72 | $123.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140.18 / $623.42 / $2,713.00
| Facility | | $140.18 | $623.42 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.41 / $103.01 / $472.96
| Professional | | $57.41 | $103.01 | $472.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.40 / $96.57 / $170.67
| Facility | | $74.40 | $96.57 | $170.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.29 / $43.29 / $50.00
| Facility | | $43.29 | $43.29 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.56 / $129.47 / $225.57
| Professional | | $69.56 | $129.47 | $225.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.80 / $168.26 / $6,679.00
| Facility | | $75.80 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $84.42 / $104.75 / $144.60
| Professional | | $84.42 | $104.75 | $144.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $79.05 / $164.63 / $250.41
| Professional | | $79.05 | $164.63 | $250.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,395.62 / $5,395.62 / $5,395.62
| Facility | | $5,395.62 | $5,395.62 | $5,395.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $522.75 / $522.75 / $522.75
| Professional | | $522.75 | $522.75 | $522.75 |
- 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
- $76.66 / $124.59 / $561.28
| Professional | | $76.66 | $124.59 | $561.28 |
- 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
- $65.48 / $98.17 / $219.62
| Professional | | $65.48 | $98.17 | $219.62 |