- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.80 / $30.02 / $1,785.00
| Facility | | $6.80 | $30.02 | $1,785.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $12.91 / $53.73
| Professional | | $6.26 | $12.91 | $53.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,139.00 / $2,479.00 / $4,441.52
| Facility | | $1,139.00 | $2,479.00 | $4,441.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.43 / $23.45 / $55.92
| Professional | | $11.43 | $23.45 | $55.92 |
- Facility/Professional
- Professional
- Modifier
- 50
- Low / Median / High Price
- $18.23 / $37.21 / $84.06
| Professional | 50 | $18.23 | $37.21 | $84.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.75 / $45.28 / $69.45
| Facility | | $38.75 | $45.28 | $69.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $18.35 / $39.19
| Professional | | $8.49 | $18.35 | $39.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $17.07 / $39.60
| Facility | | $7.51 | $17.07 | $39.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.21 / $21.03 / $1,513.00
| Facility | | $8.21 | $21.03 | $1,513.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.38 / $27.62 / $119.00
| Professional | | $14.38 | $27.62 | $119.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.34 / $49.80 / $85.00
| Professional | | $13.34 | $49.80 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $17.07 / $39.60
| Facility | | $7.51 | $17.07 | $39.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.43 / $25.09 / $46.52
| Professional | | $16.43 | $25.09 | $46.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.43 / $19.29 / $50.00
| Facility | | $14.43 | $19.29 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $38.10 / $132.09
| Professional | | $9.61 | $38.10 | $132.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $32.07 / $62.52
| Professional | | $17.03 | $32.07 | $62.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,008.00 / $1,423.00 / $2,202.90
| Facility | | $1,008.00 | $1,423.00 | $2,202.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.44 / $23.48 / $56.25
| Professional | | $13.44 | $23.48 | $56.25 |