- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $75.86 / $144.54
| Facility | | $14.45 | $75.86 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Low / Median / High Price
- $75.86 / $79.43 / $1,071.52
| Facility | CQ | $75.86 | $79.43 | $1,071.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $11.75 / $36.31
| Professional | | $7.94 | $11.75 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- CO
- Low / Median / High Price
- $41.69 / $41.69 / $41.69
| Professional | CO | $41.69 | $41.69 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- CQ
- Low / Median / High Price
- $11.48 / $11.75 / $19.05
| Professional | CQ | $11.48 | $11.75 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $26.30 / $52.48
| Facility | | $12.88 | $26.30 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $29.51 / $42.66
| Professional | | $16.60 | $29.51 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $61.66 / $81.28
| Facility | | $36.31 | $61.66 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $15.49 / $24.55
| Professional | | $12.30 | $15.49 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $58.88 / $63.10
| Facility | | $40.74 | $58.88 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $19.50
| Professional | | $12.02 | $12.02 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $66.07 / $223.87
| Facility | | $14.45 | $66.07 | $223.87 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Low / Median / High Price
- $26.92 / $54.95 / $54.95
| Facility | CQ | $26.92 | $54.95 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $26.92 / $44.67
| Professional | | $12.59 | $26.92 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $15.85 / $15.85
| Facility | | $14.45 | $15.85 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.13 / $39.81
| Professional | | $10.96 | $14.13 | $39.81 |