- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.16 / $79.19 / $118.98
| Facility | | $65.16 | $79.19 | $118.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.45 / $100.24 / $340.33
| Professional | | $70.45 | $100.24 | $340.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,691.00 / $3,427.00 / $5,017.00
| Facility | | $1,691.00 | $3,427.00 | $5,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.39 / $60.65 / $205.15
| Professional | | $46.39 | $60.65 | $205.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.12 / $74.12 / $4,050.00
| Facility | | $74.12 | $74.12 | $4,050.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.12 / $74.12 / $74.12
| Professional | | $74.12 | $74.12 | $74.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $401.01 / $401.01 / $401.01
| Professional | | $401.01 | $401.01 | $401.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.68 / $120.00 / $332.00
| Facility | | $65.68 | $120.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.20 / $92.45 / $132.00
| Professional | | $68.20 | $92.45 | $132.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.02 / $78.66 / $148.33
| Professional | | $45.02 | $78.66 | $148.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $597.00 / $74,999.25
| Facility | | $555.00 | $597.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.17 / $110.99 / $401.01
| Professional | | $63.17 | $110.99 | $401.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.31 / $73.76 / $200.60
| Professional | | $53.31 | $73.76 | $200.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.00 / $74.00 / $1,110.16
| Facility | | $74.00 | $74.00 | $1,110.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.52 / $78.79 / $148.33
| Professional | | $50.52 | $78.79 | $148.33 |