- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $223.87 / $281.84
| Facility | | $15.85 | $223.87 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $30.90 / $75.86
| Professional | | $16.98 | $30.90 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $144.54 / $2,754.23
| Facility | | $39.81 | $144.54 | $2,754.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $42.66 / $100.00
| Professional | | $19.50 | $42.66 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $45.71
| Facility | | $20.42 | $20.42 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $33.88 / $54.95
| Professional | | $19.50 | $33.88 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Facility | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $44.67 / $89.13
| Professional | | $22.91 | $44.67 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $83.18 / $7,079.46
| Facility | | $20.42 | $83.18 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $40.74 / $58.88
| Professional | | $33.11 | $40.74 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $2,041.74 / $3,467.37
| Facility | | $630.96 | $2,041.74 | $3,467.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $34.67 / $75.86
| Professional | | $18.20 | $34.67 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.48 / $52.48 / $52.48
| Professional | | $52.48 | $52.48 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $141.25 / $2,754.23
| Facility | | $28.18 | $141.25 | $2,754.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $42.66 / $100.00
| Professional | | $19.50 | $42.66 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.84 / $1,819.70 / $2,818.38
| Facility | | $338.84 | $1,819.70 | $2,818.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $44.67 / $87.10
| Professional | | $22.39 | $44.67 | $87.10 |