- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.77 / $27.43 / $113.76
| Facility | | $17.77 | $27.43 | $113.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.45 / $34.90 / $63.91
| Professional | | $19.45 | $34.90 | $63.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.14 / $96.17 / $2,713.00
| Facility | | $46.14 | $96.17 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.67 / $55.39 / $330.04
| Professional | | $22.67 | $55.39 | $330.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.48 / $28.89 / $51.57
| Facility | | $22.48 | $28.89 | $51.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.39 / $44.48 / $64.56
| Professional | | $28.39 | $44.48 | $64.56 |
- 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
- $19.46 / $43.88 / $88.12
| Professional | | $19.46 | $43.88 | $88.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.22 / $199.08 / $6,679.00
| Facility | | $23.22 | $199.08 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.02 / $41.21 / $56.51
| Professional | | $34.02 | $41.21 | $56.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.38 / $53.36 / $81.02
| Professional | | $25.38 | $53.36 | $81.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.37 / $52.15 / $93.85
| Professional | | $51.37 | $52.15 | $93.85 |
- 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
- $38.11 / $76.68 / $330.04
| Professional | | $38.11 | $76.68 | $330.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $3,445.00
| Facility | | $627.00 | $1,818.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.28 / $60.30 / $100.39
| Professional | | $35.28 | $60.30 | $100.39 |