- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.59 / $2,663.12 / $3,693.00
| Facility | | $10.59 | $2,663.12 | $3,693.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $10.59 / $24.18
| Professional | | $5.65 | $10.59 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.71 / $140.86 / $2,713.00
| Facility | | $17.71 | $140.86 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $19.50 / $119.00
| Professional | | $8.08 | $19.50 | $119.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.30 / $10.79 / $21.17
| Facility | | $8.30 | $10.79 | $21.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $13.88 / $23.13
| Professional | | $7.72 | $13.88 | $23.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $18.09 / $36.92
| Professional | | $8.35 | $18.09 | $36.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.66 / $168.26 / $6,679.00
| Facility | | $8.66 | $168.26 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.95 / $20.02 / $27.63
| Professional | | $15.95 | $20.02 | $27.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $19.60 / $42.32
| Professional | | $9.01 | $19.60 | $42.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.10 / $79.33 / $89.47
| Facility | | $49.10 | $79.33 | $89.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $966.90 / $3,445.00
| Facility | | $50.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.67 / $27.53 / $132.09
| Professional | | $16.67 | $27.53 | $132.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $9.34 / $9.84
| Professional | | $9.34 | $9.34 | $9.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.97 / $21.01 / $38.78
| Professional | | $14.97 | $21.01 | $38.78 |