- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $14.29 / $244.02
| Facility | | $11.43 | $14.29 | $244.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.22 / $52.00
| Professional | | $12.88 | $16.22 | $52.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.96 / $37.96 / $37.96
| Professional | | $37.96 | $37.96 | $37.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $967.00 / $57,255.43 / $79,506.39
| Facility | | $967.00 | $57,255.43 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.32 / $23.32 / $23.32
| Professional | | $23.32 | $23.32 | $23.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.32 / $27.32 / $27.32
| Facility | | $27.32 | $27.32 | $27.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $9.51 / $9.51
| Professional | | $9.51 | $9.51 | $9.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.49 / $31.58 / $33.81
| Professional | | $24.49 | $31.58 | $33.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.83 / $115.48 / $187.69
| Facility | | $79.83 | $115.48 | $187.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $244.02 / $676.00
| Facility | | $11.43 | $244.02 | $676.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $17.12 / $52.00
| Professional | | $12.88 | $17.12 | $52.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.70 / $34.79 / $45.90
| Professional | | $28.70 | $34.79 | $45.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.32 / $27.32 / $27.32
| Facility | | $27.32 | $27.32 | $27.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $9.51 / $9.51
| Professional | | $9.51 | $9.51 | $9.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $22.19 / $22.19
| Facility | | $13.67 | $22.19 | $22.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.67 / $22.19 / $22.19
| Professional | | $13.67 | $22.19 | $22.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $11.74 / $25.65
| Professional | | $7.75 | $11.74 | $25.65 |