- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $18.85 / $1,359.00
| Facility | | $8.59 | $18.85 | $1,359.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $18.18 / $24.74
| Professional | | $7.46 | $18.18 | $24.74 |
- 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
- $21.08 / $21.88 / $36.72
| Professional | | $21.08 | $21.88 | $36.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $13.13 / $13.13
| Facility | | $13.13 | $13.13 | $13.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $20.74 / $35.79
| Professional | | $8.75 | $20.74 | $35.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.45 / $17.45 / $17.45
| Facility | | $17.45 | $17.45 | $17.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.48 / $30.16 / $42.77
| Professional | | $23.48 | $30.16 | $42.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $21.95 / $1,812.00
| Facility | | $8.59 | $21.95 | $1,812.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.67 / $18.85 / $38.53
| Professional | | $7.67 | $18.85 | $38.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $25.90 / $46.10
| Professional | | $8.86 | $25.90 | $46.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $13.13 / $13.13
| Facility | | $13.13 | $13.13 | $13.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $20.23 / $35.22
| Professional | | $8.68 | $20.23 | $35.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $7.96 / $19.66
| Facility | | $7.47 | $7.96 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $17.30 / $20.05
| Professional | | $7.75 | $17.30 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $21.28 / $37.40
| Professional | | $16.89 | $21.28 | $37.40 |