- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.86 / $2,070.00 / $7,629.00
| Facility | | $64.86 | $2,070.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.51 / $58.41 / $74.75
| Professional | | $50.51 | $58.41 | $74.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.99 / $59.14 / $112.21
| Professional | | $56.99 | $59.14 | $112.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.37 / $86.37 / $86.37
| Facility | | $86.37 | $86.37 | $86.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.06 / $70.09 / $119.18
| Professional | | $48.06 | $70.09 | $119.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.72 / $85.85 / $117.18
| Professional | | $66.72 | $85.85 | $117.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,326.00 / $8,017.00
| Facility | | $617.00 | $2,326.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.94 / $62.48 / $315.00
| Professional | | $50.94 | $62.48 | $315.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $468.30 / $468.30
| Professional | | $27.40 | $468.30 | $468.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.64 / $86.37 / $86.37
| Facility | | $57.64 | $86.37 | $86.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.06 / $69.61 / $125.08
| Professional | | $48.06 | $69.61 | $125.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.13 / $56.77 / $560.12
| Facility | | $50.13 | $56.77 | $560.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.03 / $55.55 / $78.48
| Professional | | $50.03 | $55.55 | $78.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $1,078.00 / $3,742.00
| Facility | | $144.00 | $1,078.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.61 / $75.87 / $152.41
| Professional | | $59.61 | $75.87 | $152.41 |