- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.71 / $179.00 / $362.77
| Facility | | $24.71 | $179.00 | $362.77 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Low / Median / High Price
- $60.02 / $98.00 / $374.71
| Facility | CQ | $60.02 | $98.00 | $374.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.00 / $24.52 / $149.75
| Professional | | $13.00 | $24.52 | $149.75 |
- Facility/Professional
- Professional
- Modifier
- CO
- Low / Median / High Price
- $409.70 / $409.70 / $444.08
| Professional | CO | $409.70 | $409.70 | $444.08 |
- Facility/Professional
- Professional
- Modifier
- CQ
- Low / Median / High Price
- $17.45 / $20.44 / $117.00
| Professional | CQ | $17.45 | $20.44 | $117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.18 / $55.59 / $142.00
| Facility | | $24.18 | $55.59 | $142.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.86 / $60.22 / $73.04
| Professional | | $32.86 | $60.22 | $73.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.84 / $90.27 / $148.71
| Facility | | $57.84 | $90.27 | $148.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.91 / $30.06 / $46.29
| Professional | | $23.91 | $30.06 | $46.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.16 / $88.29 / $117.09
| Facility | | $56.16 | $88.29 | $117.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.67 / $23.67 / $44.16
| Professional | | $23.67 | $23.67 | $44.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.43 / $85.33 / $139.74
| Facility | | $33.43 | $85.33 | $139.74 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Low / Median / High Price
- $53.31 / $108.09 / $108.09
| Facility | CQ | $53.31 | $108.09 | $108.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.77 / $54.45 / $78.73
| Professional | | $26.77 | $54.45 | $78.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.54 / $28.56 / $84.78
| Professional | | $24.54 | $28.56 | $84.78 |