- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.39 / $852.43 / $6,418.16
| Facility | | $31.39 | $852.43 | $6,418.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.09 / $1,002.00 / $7,200.00
| Professional | | $31.09 | $1,002.00 | $7,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.10 / $21.29 / $8,639.91
| Facility | | $18.10 | $21.29 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.36 / $20.36 / $21.29
| Professional | | $20.36 | $20.36 | $21.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $19.98 / $19.98
| Facility | | $17.64 | $19.98 | $19.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.98 / $19.98 / $19.98
| Professional | | $19.98 | $19.98 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.62 / $20.62 / $134.88
| Facility | | $16.62 | $20.62 | $134.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.49 / $852.43 / $9,096.00
| Facility | | $31.49 | $852.43 | $9,096.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.08 / $59.83 / $7,200.00
| Professional | | $31.08 | $59.83 | $7,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,375.33 / $1,659.47 / $4,495.80
| Facility | | $1,375.33 | $1,659.47 | $4,495.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $19.98 / $19.98
| Facility | | $17.64 | $19.98 | $19.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.98 / $19.98 / $19.98
| Professional | | $19.98 | $19.98 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.80 / $24.80 / $28.78
| Facility | | $24.80 | $24.80 | $28.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.80 / $24.80 / $28.78
| Professional | | $24.80 | $24.80 | $28.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.09 / $40.09 / $73.36
| Professional | | $40.09 | $40.09 | $73.36 |