- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.73 / $2,747.00 / $8,113.00
| Facility | | $66.73 | $2,747.00 | $8,113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.47 / $74.47 / $96.71
| Professional | | $61.47 | $74.47 | $96.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.51 / $1,395.00 / $12,759.45
| Facility | | $1,083.51 | $1,395.00 | $12,759.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.06 / $78.93 / $144.97
| Professional | | $76.06 | $78.93 | $144.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.08 / $78.92 / $137.88
| Professional | | $58.08 | $78.92 | $137.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $90.74 / $90.74 / $117.01
| Professional | | $90.74 | $90.74 | $117.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $299.70 / $299.70 / $299.70
| Facility | | $299.70 | $299.70 | $299.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.49 / $93.49 / $93.49
| Professional | | $93.49 | $93.49 | $93.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $594.00 / $4,264.00 / $8,247.00
| Facility | | $594.00 | $4,264.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.47 / $78.84 / $383.46
| Professional | | $61.47 | $78.84 | $383.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $124.60 / $124.60 / $124.60
| Professional | | $124.60 | $124.60 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.40 / $78.04 / $132.01
| Professional | | $57.40 | $78.04 | $132.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.03 / $68.98 / $75.20
| Facility | | $62.03 | $68.98 | $75.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.03 / $72.62 / $78.34
| Professional | | $62.03 | $72.62 | $78.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $674.00 / $4,300.00
| Facility | | $144.00 | $674.00 | $4,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.26 / $83.67 / $139.03
| Professional | | $67.26 | $83.67 | $139.03 |