- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.57 / $97.24 / $26,338.30
| Facility | | $55.57 | $97.24 | $26,338.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.57 / $55.57 / $66.25
| Professional | | $55.57 | $55.57 | $66.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.76 / $148.93 / $277.85
| Facility | | $46.76 | $148.93 | $277.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.57 / $58.35 / $226.89
| Professional | | $55.57 | $58.35 | $226.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.57 / $68.23 / $132.59
| Facility | | $59.57 | $68.23 | $132.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.80 / $92.90 / $115.40
| Professional | | $70.80 | $92.90 | $115.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.39 / $55.57 / $55.57
| Facility | | $51.39 | $55.57 | $55.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.57 / $55.57 / $55.57
| Professional | | $55.57 | $55.57 | $55.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.57 / $86.38 / $8,090.00
| Facility | | $55.57 | $86.38 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.57 / $55.57 / $55.57
| Professional | | $55.57 | $55.57 | $55.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.57 / $55.57 / $64.31
| Professional | | $55.57 | $55.57 | $64.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,106.94 / $16,040.07 / $26,825.99
| Facility | | $11,106.94 | $16,040.07 | $26,825.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $277.85 / $277.85
| Facility | | $75.00 | $277.85 | $277.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.57 / $58.90 / $226.89
| Professional | | $55.57 | $58.90 | $226.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.42 / $57.56 / $82.94
| Facility | | $52.42 | $57.56 | $82.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.57 / $58.90 / $71.98
| Professional | | $55.57 | $58.90 | $71.98 |