- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.62 / $1,426.00 / $8,017.00
| Facility | | $16.62 | $1,426.00 | $8,017.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.20 / $16.87 / $77.00
| Professional | | $14.20 | $16.87 | $77.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,083.51 / $1,395.00 / $12,759.45
| Facility | | $1,083.51 | $1,395.00 | $12,759.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.89 / $31.00
| Professional | | $18.20 | $18.89 | $31.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.60 / $19.10 / $34.40
| Professional | | $14.60 | $19.10 | $34.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.28 / $27.36 / $28.12
| Professional | | $21.28 | $27.36 | $28.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.52 / $17.52 / $17.52
| Professional | | $17.52 | $17.52 | $17.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.31 / $3,964.00 / $8,247.00
| Facility | | $76.31 | $3,964.00 | $8,247.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.73 / $19.23 / $68.84
| Professional | | $14.73 | $19.23 | $68.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.08 / $25.08 / $31.80
| Professional | | $15.08 | $25.08 | $31.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.25 / $27.25 / $27.25
| Facility | | $27.25 | $27.25 | $27.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.08 / $19.35 / $36.53
| Professional | | $15.08 | $19.35 | $36.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.11 / $18.01 / $29.75
| Facility | | $16.11 | $18.01 | $29.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.11 / $18.01 / $22.02
| Professional | | $16.11 | $18.01 | $22.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $144.00 / $674.00 / $4,300.00
| Facility | | $144.00 | $674.00 | $4,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.91 / $20.47 / $35.74
| Professional | | $15.91 | $20.47 | $35.74 |