- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $307.82 / $2,070.00 / $7,197.00
| Facility | | $307.82 | $2,070.00 | $7,197.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.49 / $218.41 / $365.40
| Professional | | $107.49 | $218.41 | $365.40 |
- 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
- $247.87 / $257.22 / $431.54
| Professional | | $247.87 | $257.22 | $431.54 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $371.81 / $385.84 / $647.28
| Professional | 50 | $371.81 | $385.84 | $647.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $98.31 / $220.97 / $385.57
| Professional | | $98.31 | $220.97 | $385.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $308.77 / $308.77 / $398.18
| Professional | | $308.77 | $308.77 | $398.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $321.00 / $780.00 / $1,872.50
| Facility | | $321.00 | $780.00 | $1,872.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $140.72 / $315.52 / $327.00
| Professional | | $140.72 | $315.52 | $327.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $490.00 / $2,266.00 / $7,799.00
| Facility | | $490.00 | $2,266.00 | $7,799.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $110.43 / $231.16 / $800.00
| Professional | | $110.43 | $231.16 | $800.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $294.30 / $294.30 / $294.30
| Professional | | $294.30 | $294.30 | $294.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $99.97 / $219.59 / $365.73
| Professional | | $99.97 | $219.59 | $365.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.38 / $148.68 / $811.31
| Facility | | $113.38 | $148.68 | $811.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $112.49 / $257.43 / $811.31
| Professional | | $112.49 | $257.43 | $811.31 |
- 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
- $208.70 / $289.92 / $494.03
| Professional | | $208.70 | $289.92 | $494.03 |