- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $5,823.00 / $17,538.00
| Facility | | $20.32 | $5,823.00 | $17,538.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $13.91 / $38.65
| Professional | | $6.60 | $13.91 | $38.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.01 / $8.73 / $4,604.00
| Facility | | $7.01 | $8.73 | $4,604.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.54 / $17.32 / $34.79
| Professional | | $7.54 | $17.32 | $34.79 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $11.38 / $19.14 / $28.78
| Professional | 50 | $11.38 | $19.14 | $28.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.40 / $100.00 / $1,596.84
| Facility | | $59.40 | $100.00 | $1,596.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $17.10 / $34.27
| Professional | | $9.08 | $17.10 | $34.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $15.41 / $31.70
| Professional | | $8.06 | $15.41 | $31.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.96 / $10.75 / $21.12
| Professional | | $7.96 | $10.75 | $21.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $14.70 / $27.32
| Professional | | $7.28 | $14.70 | $27.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $55.00 / $55.00
| Facility | | $50.00 | $55.00 | $55.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $119.00 / $132.09 / $132.09
| Professional | | $119.00 | $132.09 | $132.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.43 / $15.02 / $26.31
| Facility | | $7.43 | $15.02 | $26.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $16.18 / $33.06
| Professional | | $8.18 | $16.18 | $33.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.03 / $25.03 / $46.67
| Professional | | $25.03 | $25.03 | $46.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $587.00 / $1,572.00 / $5,830.00
| Facility | | $587.00 | $1,572.00 | $5,830.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.92 / $15.99 / $36.04
| Professional | | $10.92 | $15.99 | $36.04 |