- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $649.00 / $3,682.00 / $12,040.00
| Facility | | $649.00 | $3,682.00 | $12,040.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $7.81 / $10.26
| Professional | | $6.51 | $7.81 | $10.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.94 / $8.27 / $12.82
| Professional | | $5.94 | $8.27 | $12.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $139.16 / $349.34
| Facility | | $2.19 | $139.16 | $349.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $11.00 / $21.71
| Professional | | $7.88 | $11.00 | $21.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $109.95 / $128.00
| Facility | | $17.98 | $109.95 | $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
- Facility
- Modifier
- Low / Median / High Price
- $7.34 / $11.09 / $22.15
| Facility | | $7.34 | $11.09 | $22.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.56 / $10.42 / $14.51
| Professional | | $8.56 | $10.42 | $14.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.70 / $19.39 / $94.20
| Professional | | $14.70 | $19.39 | $94.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.34 / $11.09 / $23.02
| Facility | | $7.34 | $11.09 | $23.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $11.14 / $19.46
| Professional | | $7.91 | $11.14 | $19.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.64 / $8.96 / $14.58
| Professional | | $6.64 | $8.96 | $14.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $7.31 / $10.08
| Professional | | $6.35 | $7.31 | $10.08 |