- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.09 / $115.66 / $8,294.00
| Facility | | $7.09 | $115.66 | $8,294.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.78 / $12.77 / $20.32
| Professional | | $6.78 | $12.77 | $20.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,735.00 / $2,390.00 / $2,954.00
| Facility | | $1,735.00 | $2,390.00 | $2,954.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $12.92 / $19.70
| Professional | | $7.00 | $12.92 | $19.70 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $10.50 / $19.39 / $29.55
| Professional | 50 | $10.50 | $19.39 | $29.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.27 / $6.27 / $974.00
| Professional | | $6.27 | $6.27 | $974.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.75 / $12.75 / $12.75
| Facility | | $12.75 | $12.75 | $12.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $14.05 / $27.19
| Professional | | $7.47 | $14.05 | $27.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.04 / $16.62 / $19.79
| Professional | | $15.04 | $16.62 | $19.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.03 / $13.16 / $26.29
| Facility | | $7.03 | $13.16 | $26.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.00 / $20.16 / $33.00
| Professional | | $17.00 | $20.16 | $33.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.64 / $10.53 / $1,098.00
| Facility | | $7.64 | $10.53 | $1,098.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.09 / $20.98 / $1,098.00
| Professional | | $14.09 | $20.98 | $1,098.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $296.00 / $1,045.00 / $2,364.00
| Facility | | $296.00 | $1,045.00 | $2,364.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $17.60 / $28.73
| Professional | | $12.27 | $17.60 | $28.73 |