- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.33 / $1,964.00 / $6,691.00
| Facility | | $39.33 | $1,964.00 | $6,691.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.96 / $22.76 / $36.24
| Professional | | $17.96 | $22.76 | $36.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.40 / $48.00 / $3,989.00
| Facility | | $7.40 | $48.00 | $3,989.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.98 / $25.99 / $41.41
| Professional | | $18.98 | $25.99 | $41.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $17.82 / $17.82
| Facility | | $17.82 | $17.82 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.54 / $32.54 / $55.89
| Professional | | $23.54 | $32.54 | $55.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $55.00 / $98.99
| Facility | | $55.00 | $55.00 | $98.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $244.00 / $284.63 / $294.02
| Professional | | $244.00 | $284.63 | $294.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.38 / $31.53 / $57.85
| Facility | | $20.38 | $31.53 | $57.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.65 / $32.79 / $44.15
| Professional | | $25.65 | $32.79 | $44.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.39 / $28.27 / $60.20
| Professional | | $20.39 | $28.27 | $60.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.47 / $31.95 / $57.85
| Facility | | $20.47 | $31.95 | $57.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.15 / $33.63 / $57.30
| Professional | | $24.15 | $33.63 | $57.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157.00 / $950.00 / $2,376.00
| Facility | | $157.00 | $950.00 | $2,376.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.52 / $30.12 / $47.86
| Professional | | $22.52 | $30.12 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.53 / $24.58 / $34.14
| Professional | | $21.53 | $24.58 | $34.14 |