- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.51 / $32.88 / $635.97
| Facility | | $17.51 | $32.88 | $635.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.36 / $27.10 / $513.57
| Professional | | $13.36 | $27.10 | $513.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.24 / $122.11 / $468.91
| Professional | | $31.24 | $122.11 | $468.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.10 / $26.10 / $26.10
| Facility | | $26.10 | $26.10 | $26.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.10 / $26.10 / $570.40
| Professional | | $26.10 | $26.10 | $570.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.12 / $29.12 / $29.12
| Facility | | $29.12 | $29.12 | $29.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.76 / $89.33 / $660.12
| Professional | | $12.76 | $89.33 | $660.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $38.29 / $332.00
| Facility | | $19.05 | $38.29 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $482.46 / $559.22 / $1,145.08
| Professional | | $482.46 | $559.22 | $1,145.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $105.02 / $505.91 / $895.03
| Professional | | $105.02 | $505.91 | $895.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.12 / $555.00 / $74,999.25
| Facility | | $29.12 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.32 / $238.03 / $707.96
| Professional | | $19.32 | $238.03 | $707.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $113.94 / $330.35 / $623.91
| Professional | | $113.94 | $330.35 | $623.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.77 / $19.77 / $31.85
| Facility | | $19.77 | $19.77 | $31.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.82 / $393.14 / $895.03
| Professional | | $27.82 | $393.14 | $895.03 |