- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $22.43 / $91.24
| Facility | | $9.06 | $22.43 | $91.24 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Low / Median / High Price
- $16.68 / $34.81 / $375.66
| Facility | CQ | $16.68 | $34.81 | $375.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $10.89 / $20.05
| Professional | | $7.72 | $10.89 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- CO
- Low / Median / High Price
- $68.56 / $68.56 / $68.56
| Professional | CO | $68.56 | $68.56 | $68.56 |
- Facility/Professional
- Professional
- Modifier
- CQ
- Low / Median / High Price
- $68.56 / $68.56 / $68.56
| Professional | CQ | $68.56 | $68.56 | $68.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.16 / $7.88 / $10.96
| Professional | | $6.16 | $7.88 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $11.00 / $46.75
| Professional | | $10.00 | $11.00 | $46.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.00 / $72.00 / $202.81
| Facility | | $70.00 | $72.00 | $202.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $16.36 / $111.17
| Professional | | $10.02 | $16.36 | $111.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.52 / $14.87 / $18.30
| Professional | | $12.52 | $14.87 | $18.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $12.44 / $23.01
| Facility | | $9.06 | $12.44 | $23.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.00 / $17.95 / $27.00
| Professional | | $16.00 | $17.95 | $27.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $14.47 / $34.15
| Facility | | $8.59 | $14.47 | $34.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $14.47 / $34.15
| Professional | | $8.59 | $14.47 | $34.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $13.94 / $17.36
| Professional | | $9.56 | $13.94 | $17.36 |