- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.55 / $351.56 / $1,359.00
| Facility | | $59.55 | $351.56 | $1,359.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.20 / $75.19 / $209.82
| Professional | | $45.20 | $75.19 | $209.82 |
- 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
- $32.38 / $160.18 / $283.79
| Professional | | $32.38 | $160.18 | $283.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.94 / $73.79 / $198.72
| Professional | | $44.94 | $73.79 | $198.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.79 / $52.79 / $58.66
| Professional | | $52.79 | $52.79 | $58.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $306.00 / $725.10 / $1,711.34
| Facility | | $306.00 | $725.10 | $1,711.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.55 / $392.56 / $9,775.00
| Facility | | $59.55 | $392.56 | $9,775.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.01 / $88.37 / $257.64
| Professional | | $45.01 | $88.37 | $257.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $153.90 / $187.40 / $323.70
| Professional | | $153.90 | $187.40 | $323.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.20 / $73.79 / $199.57
| Professional | | $44.20 | $73.79 | $199.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.53 / $51.38 / $163.76
| Facility | | $36.53 | $51.38 | $163.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.53 / $50.53 / $106.68
| Professional | | $36.53 | $50.53 | $106.68 |
- 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
- $104.07 / $168.23 / $261.52
| Professional | | $104.07 | $168.23 | $261.52 |