- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.41 / $27.07 / $270.66
| Facility | | $17.41 | $27.07 | $270.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.26 / $37.71 / $83.67
| Professional | | $18.26 | $37.71 | $83.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.47 / $95.19 / $2,713.00
| Facility | | $44.47 | $95.19 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.40 / $54.17 / $326.25
| Professional | | $22.40 | $54.17 | $326.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.32 / $27.40 / $48.91
| Facility | | $21.32 | $27.40 | $48.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.20 / $41.03 / $68.81
| Professional | | $27.20 | $41.03 | $68.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.22 / $45.17 / $81.66
| Professional | | $26.22 | $45.17 | $81.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.09 / $199.08 / $6,679.00
| Facility | | $22.09 | $199.08 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.33 / $40.38 / $55.33
| Professional | | $33.33 | $40.38 | $55.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.09 / $50.65 / $79.22
| Professional | | $24.09 | $50.65 | $79.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.61 / $69.75 / $94.82
| Professional | | $19.61 | $69.75 | $94.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.94 / $77.56 / $326.25
| Professional | | $37.94 | $77.56 | $326.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.64 / $59.16 / $98.67
| Professional | | $35.64 | $59.16 | $98.67 |