- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.63 / $1,426.00 / $8,017.00
| Facility | | $48.63 | $1,426.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.61 / $87.96 / $216.78
| Professional | | $41.61 | $87.96 | $216.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,299.82 / $2,746.00 / $13,822.74
| Facility | | $2,299.82 | $2,746.00 | $13,822.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $78.18 / $95.45 / $103.94
| Professional | | $78.18 | $95.45 | $103.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.66 / $97.66 / $185.05
| Professional | | $50.66 | $97.66 | $185.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.40 / $97.13 / $146.44
| Professional | | $14.40 | $97.13 | $146.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $261.79 / $486.43 / $850.10
| Facility | | $261.79 | $486.43 | $850.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $237.45 / $1,569.00 / $8,017.00
| Facility | | $237.45 | $1,569.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.22 / $93.09 / $231.90
| Professional | | $44.22 | $93.09 | $231.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $102.10 / $257.70
| Professional | | $5.00 | $102.10 | $257.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.36 / $100.00 / $196.76
| Professional | | $51.36 | $100.00 | $196.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.69 / $66.34 / $102.01
| Facility | | $45.69 | $66.34 | $102.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.69 / $91.87 / $100.47
| Professional | | $45.69 | $91.87 | $100.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $557.00 / $3,742.00
| Facility | | $162.00 | $557.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.79 / $111.89 / $189.80
| Professional | | $86.79 | $111.89 | $189.80 |