- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.14 / $33.61 / $704.65
| Facility | | $25.14 | $33.61 | $704.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.14 / $40.90 / $225.58
| Professional | | $25.14 | $40.90 | $225.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.04 / $61.07 / $539.87
| Facility | | $38.04 | $61.07 | $539.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.33 / $75.61 / $787.00
| Professional | | $32.33 | $75.61 | $787.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.65 / $42.64 / $106.47
| Facility | | $26.65 | $42.64 | $106.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.73 / $85.29 / $179.55
| Facility | | $79.73 | $85.29 | $179.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.45 / $77.09 / $108.15
| Professional | | $44.45 | $77.09 | $108.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.84 / $83.43 / $6,679.00
| Facility | | $18.84 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.41 / $28.35 / $54.78
| Professional | | $20.41 | $28.35 | $54.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.96 / $77.50 / $102.02
| Professional | | $40.96 | $77.50 | $102.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.54 / $32.54 / $1,021.56
| Facility | | $32.54 | $32.54 | $1,021.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.30 / $29.01 / $70.28
| Professional | | $28.30 | $29.01 | $70.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.64 / $71.64 / $539.87
| Facility | | $71.64 | $71.64 | $539.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.59 / $81.73 / $787.00
| Professional | | $34.59 | $81.73 | $787.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.59 / $61.76 / $119.34
| Professional | | $34.59 | $61.76 | $119.34 |