- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.31 / $2,663.12 / $3,693.00
| Facility | | $22.31 | $2,663.12 | $3,693.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $16.68 / $42.46
| Professional | | $6.94 | $16.68 | $42.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.75 / $210.01 / $2,733.00
| Facility | | $48.75 | $210.01 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $29.10 / $85.01
| Professional | | $8.42 | $29.10 | $85.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.30 / $10.79 / $21.21
| Facility | | $8.30 | $10.79 | $21.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $25.11 / $39.67
| Professional | | $7.06 | $25.11 | $39.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $50.00 / $50.00
| Facility | | $50.00 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.43 / $21.43 / $29.07
| Professional | | $21.43 | $21.43 | $29.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $53.00 / $8,090.00
| Facility | | $8.59 | $53.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.94 / $34.13 / $47.40
| Professional | | $26.94 | $34.13 | $47.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $25.07 / $68.16
| Professional | | $9.01 | $25.07 | $68.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.41 / $49.41 / $49.41
| Professional | | $49.41 | $49.41 | $49.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $1,078.00 / $3,445.00
| Facility | | $50.00 | $1,078.00 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.87 / $39.74 / $148.66
| Professional | | $20.87 | $39.74 | $148.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.72 / $23.29 / $24.53
| Professional | | $22.72 | $23.29 | $24.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $627.00 / $1,818.00 / $2,733.00
| Facility | | $627.00 | $1,818.00 | $2,733.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.76 / $33.85 / $68.56
| Professional | | $18.76 | $33.85 | $68.56 |