- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.71 / $2,070.00 / $7,629.00
| Facility | | $186.71 | $2,070.00 | $7,629.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.59 / $159.96 / $262.39
| Professional | | $64.59 | $159.96 | $262.39 |
- 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
- $145.91 / $188.70 / $317.76
| Professional | | $145.91 | $188.70 | $317.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.98 / $375.56 / $484.27
| Facility | | $94.98 | $375.56 | $484.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.40 / $142.93 / $258.76
| Professional | | $59.40 | $142.93 | $258.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $176.58 / $227.03 / $233.48
| Professional | | $176.58 | $227.03 | $233.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $126.98 / $149.38 / $163.07
| Professional | | $126.98 | $149.38 | $163.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.00 / $2,371.00 / $8,017.00
| Facility | | $617.00 | $2,371.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.04 / $169.25 / $445.01
| Professional | | $66.04 | $169.25 | $445.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.00 / $184.80 / $207.31
| Professional | | $54.00 | $184.80 | $207.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.23 / $191.15 / $403.23
| Facility | | $92.23 | $191.15 | $403.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.22 / $144.54 / $274.50
| Professional | | $60.22 | $144.54 | $274.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.92 / $123.66 / $165.09
| Facility | | $69.92 | $123.66 | $165.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.70 / $145.49 / $177.82
| Professional | | $69.70 | $145.49 | $177.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $136.99 / $179.94 / $337.56
| Professional | | $136.99 | $179.94 | $337.56 |