- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $33.04 / $57.12
| Facility | | $10.41 | $33.04 | $57.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $10.41 / $20.88
| Professional | | $9.14 | $10.41 | $20.88 |
- Facility/Professional
- Professional
- Modifier
- CQ
- Low / Median / High Price
- $8.74 / $8.74 / $8.74
| Professional | CQ | $8.74 | $8.74 | $8.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.60 / $54.63 / $90.35
| Facility | | $35.60 | $54.63 | $90.35 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Low / Median / High Price
- $55.03 / $55.03 / $55.03
| Facility | CQ | $55.03 | $55.03 | $55.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $19.07 / $52.90
| Professional | | $12.36 | $19.07 | $52.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $11.31 / $17.10
| Professional | | $11.31 | $11.31 | $17.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.11 / $49.60 / $6,679.00
| Facility | | $15.11 | $49.60 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.03 / $17.48 / $24.13
| Professional | | $14.03 | $17.48 | $24.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.56 / $29.45 / $38.75
| Professional | | $15.56 | $29.45 | $38.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $9.18 / $9.18
| Facility | | $9.18 | $9.18 | $9.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.97 / $80.00 / $80.00
| Facility | | $23.97 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- CQ
- Low / Median / High Price
- $55.03 / $55.03 / $55.03
| Facility | CQ | $55.03 | $55.03 | $55.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.35 / $19.76 / $76.98
| Professional | | $13.35 | $19.76 | $76.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $17.60 / $31.77
| Professional | | $12.36 | $17.60 | $31.77 |