- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.37 / $1,900.00 / $8,780.00
| Facility | | $11.37 | $1,900.00 | $8,780.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $10.21 / $21.28
| Professional | | $5.81 | $10.21 | $21.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.36 / $86.71 / $196.39
| Facility | | $42.36 | $86.71 | $196.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $11.24 / $17.89
| Professional | | $6.23 | $11.24 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $31.81 / $34.02
| Facility | | $3.74 | $31.81 | $34.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.65 / $13.55 / $13.80
| Facility | | $6.65 | $13.55 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $14.14 / $25.46
| Professional | | $7.73 | $14.14 | $25.46 |
- 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
- Facility
- Modifier
- Low / Median / High Price
- $7.14 / $13.39 / $24.23
| Facility | | $7.14 | $13.39 | $24.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $14.24 / $25.87
| Professional | | $8.90 | $14.24 | $25.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $14.60 / $32.06
| Professional | | $7.36 | $14.60 | $32.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.14 / $13.30 / $24.47
| Facility | | $7.14 | $13.30 | $24.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $14.85 / $26.13
| Professional | | $8.09 | $14.85 | $26.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161.00 / $952.00 / $2,405.00
| Facility | | $161.00 | $952.00 | $2,405.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.09 / $15.50 / $25.92
| Professional | | $11.09 | $15.50 | $25.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.87 / $13.44 / $18.82
| Professional | | $11.87 | $13.44 | $18.82 |