- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,548.00 / $5,845.00 / $10,686.00
| Facility | | $1,548.00 | $5,845.00 | $10,686.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $28.00 / $28.00
| Professional | | $11.96 | $28.00 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.94 / $101.76 / $199.04
| Professional | | $81.94 | $101.76 | $199.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $9.69 / $9.69
| Facility | | $9.69 | $9.69 | $9.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.72 / $32.72 / $32.72
| Professional | | $32.72 | $32.72 | $32.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.69 / $15.35 / $332.00
| Facility | | $7.69 | $15.35 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $9.50 / $20.38
| Professional | | $8.11 | $9.50 | $20.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $8.59 / $14.13
| Professional | | $5.95 | $8.59 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.07 / $20.07 / $20.07
| Facility | | $20.07 | $20.07 | $20.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $555.00 / $74,999.25
| Facility | | $9.69 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.72 / $32.72 / $32.72
| Professional | | $32.72 | $32.72 | $32.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $6.93 / $13.51
| Professional | | $5.28 | $6.93 | $13.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.41 / $6.41 / $6.42
| Facility | | $6.41 | $6.41 | $6.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.41 / $6.42 / $14.13
| Professional | | $6.41 | $6.42 | $14.13 |