- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.29 / $5,724.26 / $55,553.24
| Facility | | $60.29 | $5,724.26 | $55,553.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.29 / $60.29 / $136.52
| Professional | | $60.29 | $60.29 | $136.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.55 / $161.58 / $301.45
| Facility | | $54.55 | $161.58 | $301.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.29 / $61.36 / $2,460.12
| Professional | | $60.29 | $61.36 | $2,460.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.63 / $74.04 / $143.85
| Facility | | $64.63 | $74.04 | $143.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.81 / $99.18 / $131.16
| Professional | | $71.81 | $99.18 | $131.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.60 / $60.29 / $60.29
| Facility | | $57.60 | $60.29 | $60.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.29 / $60.29 / $60.29
| Professional | | $60.29 | $60.29 | $60.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.73 / $92.52 / $8,090.00
| Facility | | $59.73 | $92.52 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.84 / $38.84 / $60.29
| Professional | | $38.84 | $38.84 | $60.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.29 / $60.29 / $69.78
| Professional | | $60.29 | $60.29 | $69.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,337.30 / $16,944.98 / $34,092.86
| Facility | | $11,337.30 | $16,944.98 | $34,092.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.20 / $301.45 / $301.45
| Facility | | $80.20 | $301.45 | $301.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.29 / $63.91 / $2,460.12
| Professional | | $60.29 | $63.91 | $2,460.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.78 / $63.36 / $109.92
| Facility | | $40.78 | $63.36 | $109.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.29 / $60.29 / $78.09
| Professional | | $60.29 | $60.29 | $78.09 |