- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.40 / $54.36 / $2,728.00
| Facility | | $41.40 | $54.36 | $2,728.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.96 / $42.14 / $188.00
| Professional | | $38.96 | $42.14 | $188.00 |
- 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
- $37.79 / $57.19 / $97.22
| Professional | | $37.79 | $57.19 | $97.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.48 / $48.48 / $48.48
| Facility | | $48.48 | $48.48 | $48.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.59 / $54.59 / $90.54
| Professional | | $35.59 | $54.59 | $90.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.36 / $54.85 / $102.11
| Professional | | $37.36 | $54.85 | $102.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.40 / $91.42 / $2,771.00
| Facility | | $41.40 | $91.42 | $2,771.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.83 / $53.23 / $183.06
| Professional | | $39.83 | $53.23 | $183.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.00 / $90.40 / $132.30
| Professional | | $55.00 | $90.40 | $132.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.48 / $48.48 / $48.48
| Facility | | $48.48 | $48.48 | $48.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.59 / $52.98 / $92.62
| Professional | | $35.59 | $52.98 | $92.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.12 / $52.64 / $58.84
| Facility | | $41.12 | $52.64 | $58.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.12 / $52.64 / $58.84
| Professional | | $41.12 | $52.64 | $58.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.22 / $57.14 / $99.20
| Professional | | $44.22 | $57.14 | $99.20 |