- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.68 / $8,934.00 / $19,011.00
| Facility | | $8.68 | $8,934.00 | $19,011.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $8.23 / $39.65
| Professional | | $6.97 | $8.23 | $39.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.21 / $293.00 / $876.00
| Facility | | $0.21 | $293.00 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $11.73 / $31.76
| Professional | | $8.02 | $11.73 | $31.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.48 / $55.65 / $103.73
| Facility | | $24.48 | $55.65 | $103.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $12.16 / $27.90
| Professional | | $8.52 | $12.16 | $27.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $171.67 / $587.45
| Facility | | $8.86 | $171.67 | $587.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.64 / $12.53 / $29.32
| Professional | | $8.64 | $12.53 | $29.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.00 / $49.00 / $801.00
| Professional | | $28.00 | $49.00 | $801.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $69.00 / $128.00
| Facility | | $17.98 | $69.00 | $128.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $359.00 / $382.94 / $382.94
| Professional | | $359.00 | $382.94 | $382.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.75 / $45.75 / $45.75
| Professional | | $45.75 | $45.75 | $45.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $9.98 / $74.09
| Facility | | $7.41 | $9.98 | $74.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $13.11 / $21.78
| Professional | | $8.85 | $13.11 | $21.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $9.65 / $20.42
| Professional | | $6.44 | $9.65 | $20.42 |