- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $6,025.60 / $16,982.44
| Facility | | $1,737.80 | $6,025.60 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.00 / $38.90
| Professional | | $2.00 | $2.00 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.20 / $1.51 / $6.92
| Facility | | $1.20 | $1.51 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $2.95 / $138.04
| Professional | | $1.20 | $2.95 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $20.89 / $39.81
| Facility | | $7.76 | $20.89 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.51 / $7.41
| Professional | | $1.78 | $2.51 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.51 / $8.91 / $25.12
| Facility | | $2.51 | $8.91 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $1.58 / $11.75
| Professional | | $1.58 | $1.58 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $10.23 / $100.00
| Professional | | $9.33 | $10.23 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $9.33 / $18.20
| Professional | | $7.41 | $9.33 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $85.11
| Facility | | $79.43 | $79.43 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $8.91
| Professional | | $8.91 | $8.91 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $7.41 / $18.62
| Facility | | $3.47 | $7.41 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $1.26 / $8.32
| Professional | | $1.26 | $1.26 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $6.76
| Professional | | $6.76 | $6.76 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $4.57 / $5.89
| Facility | | $1.51 | $4.57 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $1.82 / $8.13
| Professional | | $1.26 | $1.82 | $8.13 |