- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.11 / $18.91 / $1,359.00
| Facility | | $17.11 | $18.91 | $1,359.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.90 / $18.55 / $50.06
| Professional | | $15.90 | $18.55 | $50.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.72 / $27.09 / $27.33
| Professional | | $25.72 | $27.09 | $27.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.70 / $18.47 / $33.93
| Professional | | $15.70 | $18.47 | $33.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.28 / $22.93 / $39.11
| Professional | | $17.28 | $22.93 | $39.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.39 / $38.39 / $38.39
| Facility | | $38.39 | $38.39 | $38.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $25.65 / $47.08
| Professional | | $19.60 | $25.65 | $47.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.96 / $22.22 / $25.05
| Professional | | $17.96 | $22.22 | $25.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.91 / $18.91 / $1,812.00
| Facility | | $18.91 | $18.91 | $1,812.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.79 / $21.47 / $54.20
| Professional | | $16.79 | $21.47 | $54.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $31.90 / $44.90
| Professional | | $11.00 | $31.90 | $44.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.28 / $22.93 / $39.53
| Professional | | $17.28 | $22.93 | $39.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.39 / $17.61 / $17.61
| Facility | | $16.39 | $17.61 | $17.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.39 / $17.61 / $18.23
| Professional | | $16.39 | $17.61 | $18.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.46 / $20.93 / $35.47
| Professional | | $15.46 | $20.93 | $35.47 |