- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.51 / $61.44 / $853.28
| Facility | | $28.51 | $61.44 | $853.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.87 / $40.03 / $73.40
| Professional | | $25.87 | $40.03 | $73.40 |
- 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
- $50.76 / $52.68 / $92.77
| Professional | | $50.76 | $52.68 | $92.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.94 / $50.94 / $50.94
| Facility | | $50.94 | $50.94 | $50.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $36.07 / $89.93
| Professional | | $16.30 | $36.07 | $89.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.49 / $76.48 / $78.22
| Professional | | $59.49 | $76.48 | $78.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $184.00 / $507.26 / $2,241.94
| Facility | | $184.00 | $507.26 | $2,241.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.90 / $74.59 / $853.28
| Facility | | $37.90 | $74.59 | $853.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.82 / $43.38 / $85.25
| Professional | | $26.82 | $43.38 | $85.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.70 / $38.70 / $46.10
| Professional | | $38.70 | $38.70 | $46.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.42 / $43.42 / $50.94
| Facility | | $43.42 | $43.42 | $50.94 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $4.34 / $4.34 / $4.34
| Facility | AS | $4.34 | $4.34 | $4.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $38.06 / $92.15
| Professional | | $16.30 | $38.06 | $92.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.33 / $38.29 / $49.41
| Facility | | $26.33 | $38.29 | $49.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.26 / $45.08 / $52.57
| Professional | | $26.26 | $45.08 | $52.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.96 / $47.78 / $77.23
| Professional | | $36.96 | $47.78 | $77.23 |