- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.74 / $10.33 / $323.08
| Facility | | $7.74 | $10.33 | $323.08 |
- Facility/Professional
- Facility
- Modifier
- 25
- Low / Median / High Price
- $171.00 / $297.02 / $297.02
| Facility | 25 | $171.00 | $297.02 | $297.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.77 / $241.75 / $450.31
| Facility | | $204.77 | $241.75 | $450.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.94 / $38.53 / $91.95
| Facility | | $26.94 | $38.53 | $91.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.49 / $31.46 / $72.40
| Facility | | $24.49 | $31.46 | $72.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $22.30 / $51.42
| Facility | | $10.33 | $22.30 | $51.42 |