- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.38 / $1,803.00 / $3,363.00
| Facility | | $66.38 | $1,803.00 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $24.71 / $48.00
| Professional | | $10.70 | $24.71 | $48.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.77 / $627.00 / $2,733.00
| Facility | | $56.77 | $627.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.78 / $53.08 / $169.50
| Professional | | $26.78 | $53.08 | $169.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.29 / $35.47 / $69.17
| Facility | | $27.29 | $35.47 | $69.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.03 / $62.22 / $111.35
| Professional | | $37.03 | $62.22 | $111.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.73 / $302.56 / $341.96
| Facility | | $267.73 | $302.56 | $341.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.15 / $44.29 / $109.38
| Professional | | $21.15 | $44.29 | $109.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.28 / $83.43 / $6,679.00
| Facility | | $28.28 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.69 / $45.75 / $73.14
| Professional | | $26.69 | $45.75 | $73.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.49 / $61.88 / $121.58
| Professional | | $29.49 | $61.88 | $121.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $205.64 / $411.75 / $1,013.99
| Facility | | $205.64 | $411.75 | $1,013.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134.81 / $1,078.00 / $3,445.00
| Facility | | $134.81 | $1,078.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.12 / $69.02 / $376.33
| Professional | | $45.12 | $69.02 | $376.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.59 / $53.08 / $133.36
| Professional | | $43.59 | $53.08 | $133.36 |