- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $23.93 / $1,716.69
| Facility | | $10.19 | $23.93 | $1,716.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.24 / $16.21 / $22.69
| Professional | | $9.24 | $16.21 | $22.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $15.64 / $16.23
| Professional | | $14.13 | $15.64 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,400.00 / $6,378.00 / $9,697.00
| Facility | | $2,400.00 | $6,378.00 | $9,697.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $13.92 / $22.15
| Professional | | $7.23 | $13.92 | $22.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $9.02 / $907.31
| Facility | | $8.57 | $9.02 | $907.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.92 / $14.47 / $14.47
| Facility | | $7.92 | $14.47 | $14.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.74 / $17.57 / $27.91
| Facility | | $6.74 | $17.57 | $27.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $18.93 / $31.67
| Professional | | $10.42 | $18.93 | $31.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.80 / $43.80 / $1,300.00
| Facility | | $43.80 | $43.80 | $1,300.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.00 / $169.00 / $169.00
| Professional | | $169.00 | $169.00 | $169.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.76 / $19.62 / $36.75
| Facility | | $9.76 | $19.62 | $36.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $22.71 / $30.57
| Professional | | $11.35 | $22.71 | $30.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $17.85 / $35.58
| Professional | | $8.57 | $17.85 | $35.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.24 / $19.45 / $36.03
| Facility | | $9.24 | $19.45 | $36.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $20.30 / $32.14
| Professional | | $10.54 | $20.30 | $32.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.14 / $18.59 / $29.61
| Professional | | $14.14 | $18.59 | $29.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.91 / $16.82 / $23.67
| Professional | | $14.91 | $16.82 | $23.67 |