- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.90 / $51.29 / $85.11
| Facility | | $30.90 | $51.29 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $67.61 / $147.91
| Professional | | $31.62 | $67.61 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $38.02 / $43.65
| Professional | | $33.88 | $38.02 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.84 / $37.15 / $93.33
| Professional | | $28.84 | $37.15 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.54 / $57.54 / $57.54
| Facility | | $57.54 | $57.54 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $57.54 / $57.54
| Professional | | $57.54 | $57.54 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $53,703.18
| Facility | | $61.66 | $61.66 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $58.88 / $131.83
| Professional | | $32.36 | $58.88 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $48.98 / $134.90
| Facility | | $39.81 | $48.98 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $48.98 / $75.86
| Professional | | $36.31 | $48.98 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $43.65 / $75.86
| Professional | | $28.18 | $43.65 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $97.72 / $100.00
| Professional | | $54.95 | $97.72 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $50,118.72 / $75,857.76
| Facility | | $26.92 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $58.88 / $83.18
| Professional | | $45.71 | $58.88 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $52.48 / $93.33
| Professional | | $36.31 | $52.48 | $93.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $38.90 / $97.72
| Facility | | $33.11 | $38.90 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $43.65 / $100.00
| Professional | | $33.11 | $43.65 | $100.00 |