- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.86 / $71.23 / $2,180.29
| Facility | | $31.86 | $71.23 | $2,180.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.29 / $63.60 / $135.28
| Professional | | $35.29 | $63.60 | $135.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.38 / $32.38 / $32.38
| Professional | | $32.38 | $32.38 | $32.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,752.00 / $10,256.00 / $14,543.00
| Facility | | $6,752.00 | $10,256.00 | $14,543.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.49 / $45.33 / $211.51
| Professional | | $32.49 | $45.33 | $211.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.82 / $31.82 / $31.82
| Facility | | $31.82 | $31.82 | $31.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.25 / $80.59 / $223.46
| Professional | | $44.25 | $80.59 | $223.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.30 / $5,294.00 / $5,294.00
| Facility | | $81.30 | $5,294.00 | $5,294.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $395.65 / $704.68 / $704.68
| Professional | | $395.65 | $704.68 | $704.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.04 / $73.22 / $206.73
| Facility | | $38.04 | $73.22 | $206.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.25 / $53.37 / $64.04
| Professional | | $46.25 | $53.37 | $64.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $185.60 / $185.60 / $185.60
| Professional | | $185.60 | $185.60 | $185.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.04 / $73.90 / $202.18
| Facility | | $38.04 | $73.90 | $202.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.52 / $83.51 / $233.84
| Professional | | $43.52 | $83.51 | $233.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.00 / $950.00 / $2,376.00
| Facility | | $157.00 | $950.00 | $2,376.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.69 / $143.85 / $221.94
| Professional | | $107.69 | $143.85 | $221.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.37 / $34.81 / $47.59
| Professional | | $30.37 | $34.81 | $47.59 |