- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $17.85 / $282.82
| Facility | | $10.34 | $17.85 | $282.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $21.20 / $87.00
| Professional | | $10.83 | $21.20 | $87.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.64 / $145.63 / $2,713.00
| Facility | | $25.64 | $145.63 | $2,713.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.72 / $36.40 / $206.74
| Professional | | $13.72 | $36.40 | $206.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.42 / $15.96 / $30.28
| Facility | | $12.42 | $15.96 | $30.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.18 / $26.99 / $42.13
| Professional | | $16.18 | $26.99 | $42.13 |
- 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
- $13.91 / $28.13 / $78.61
| Professional | | $13.91 | $28.13 | $78.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.96 / $199.08 / $6,679.00
| Facility | | $12.96 | $199.08 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.63 / $27.41 / $37.65
| Professional | | $22.63 | $27.41 | $37.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.20 / $29.95 / $55.54
| Professional | | $14.20 | $29.95 | $55.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.97 / $80.97 / $556.52
| Facility | | $80.97 | $80.97 | $556.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.62 / $29.39 / $42.42
| Professional | | $19.62 | $29.39 | $42.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $966.90 / $3,445.00
| Facility | | $55.00 | $966.90 | $3,445.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.85 / $51.72 / $206.74
| Professional | | $23.85 | $51.72 | $206.74 |
- 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
- $22.41 / $41.58 / $75.34
| Professional | | $22.41 | $41.58 | $75.34 |