- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.96 / $341.25 / $521.29
| Facility | | $100.96 | $341.25 | $521.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $92.23 / $102.20 / $801.44
| Professional | | $92.23 | $102.20 | $801.44 |
- 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
- $97.22 / $97.22 / $97.22
| Professional | | $97.22 | $97.22 | $97.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.45 / $165.99 / $414.00
| Facility | | $83.45 | $165.99 | $414.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.27 / $77.40 / $186.06
| Professional | | $38.27 | $77.40 | $186.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.16 / $168.26 / $236.82
| Professional | | $74.16 | $168.26 | $236.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $379.00 / $379.00 / $379.00
| Facility | | $379.00 | $379.00 | $379.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.94 / $341.25 / $521.29
| Facility | | $105.94 | $341.25 | $521.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.74 / $143.34 / $514.76
| Professional | | $89.74 | $143.34 | $514.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $184.47 / $186.96 / $249.28
| Professional | | $184.47 | $186.96 | $249.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.45 / $165.99 / $414.00
| Facility | | $83.45 | $165.99 | $414.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.27 / $79.48 / $186.06
| Professional | | $38.27 | $79.48 | $186.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.31 / $124.64 / $124.64
| Facility | | $91.31 | $124.64 | $124.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.31 / $124.64 / $124.64
| Professional | | $91.31 | $124.64 | $124.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.35 / $74.78 / $162.11
| Professional | | $52.35 | $74.78 | $162.11 |