- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $100.00 / $416.87
| Facility | | $31.62 | $100.00 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $61.66 / $173.78
| Professional | | $22.91 | $61.66 | $173.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $60.26 / $131.83
| Professional | | $57.54 | $60.26 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.90 / $38.90 / $38.90
| Facility | | $38.90 | $38.90 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $56.23 / $117.49
| Professional | | $23.99 | $56.23 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $91.20 / $141.25
| Professional | | $72.44 | $91.20 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $79.43 / $102.33
| Professional | | $25.70 | $79.43 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120.23 / $120.23 / $489.78
| Facility | | $120.23 | $120.23 | $489.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $100.00 / $416.87
| Facility | | $36.31 | $100.00 | $416.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $61.66 / $162.18
| Professional | | $22.91 | $61.66 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $93.33 / $109.65 / $144.54
| Professional | | $93.33 | $109.65 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $81.28 / $309.03
| Facility | | $23.99 | $81.28 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $29.51 / $309.03
| Professional | | $7.41 | $29.51 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $52.48 / $107.15
| Professional | | $21.38 | $52.48 | $107.15 |