- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.84 / $68.84 / $9,775.00
| Facility | | $68.84 | $68.84 | $9,775.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.12 / $58.04 / $73.03
| Professional | | $51.12 | $58.04 | $73.03 |
- 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
- $47.68 / $92.08 / $118.97
| Professional | | $47.68 | $92.08 | $118.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.54 / $79.56 / $115.51
| Professional | | $56.54 | $79.56 | $115.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $77.77 / $77.77 / $86.21
| Professional | | $77.77 | $77.77 | $86.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,336.50 / $1,336.50 / $1,336.50
| Facility | | $1,336.50 | $1,336.50 | $1,336.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.84 / $1,812.00 / $9,775.00
| Facility | | $68.84 | $1,812.00 | $9,775.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.12 / $61.66 / $137.69
| Professional | | $51.12 | $61.66 | $137.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.30 / $96.90 / $147.40
| Professional | | $67.30 | $96.90 | $147.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.64 / $81.23 / $125.94
| Professional | | $58.64 | $81.23 | $125.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.03 / $53.03 / $459.51
| Facility | | $53.03 | $53.03 | $459.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.71 / $54.01 / $459.51
| Professional | | $50.71 | $54.01 | $459.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $650.00 / $3,742.00
| Facility | | $144.00 | $650.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.06 / $78.73 / $129.35
| Professional | | $62.06 | $78.73 | $129.35 |