- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.09 / $3,839.00 / $8,113.00
| Facility | | $54.09 | $3,839.00 | $8,113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.67 / $54.09 / $69.31
| Professional | | $48.67 | $54.09 | $69.31 |
- 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
- $47.56 / $72.53 / $108.36
| Professional | | $47.56 | $72.53 | $108.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.98 / $94.98 / $94.98
| Facility | | $94.98 | $94.98 | $94.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.15 / $71.56 / $116.75
| Professional | | $56.15 | $71.56 | $116.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.65 / $83.09 / $83.09
| Professional | | $62.65 | $83.09 | $83.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.00 / $4,761.00 / $8,247.00
| Facility | | $832.00 | $4,761.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.67 / $56.67 / $289.89
| Professional | | $48.67 | $56.67 | $289.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.40 / $97.90 / $126.50
| Professional | | $69.40 | $97.90 | $126.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.98 / $94.98 / $94.98
| Facility | | $94.98 | $94.98 | $94.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.15 / $71.84 / $130.87
| Professional | | $56.15 | $71.84 | $130.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.54 / $53.54 / $57.84
| Facility | | $53.54 | $53.54 | $57.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.41 / $54.32 / $57.84
| Professional | | $51.41 | $54.32 | $57.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $577.00 / $3,742.00
| Facility | | $162.00 | $577.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.10 / $68.77 / $114.08
| Professional | | $51.10 | $68.77 | $114.08 |