- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $84.33 / $1,827.00
| Facility | | $9.28 | $84.33 | $1,827.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.96 / $9.40 / $28.76
| Professional | | $8.96 | $9.40 | $28.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.73 / $24.03 / $312.00
| Facility | | $11.73 | $24.03 | $312.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $10.77 / $36.52
| Professional | | $4.42 | $10.77 | $36.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.37 / $60.50 / $100.00
| Facility | | $21.37 | $60.50 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $11.25 / $28.49
| Professional | | $10.13 | $11.25 | $28.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.51 / $41.08 / $73.54
| Facility | | $22.51 | $41.08 | $73.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.31 / $9.61 / $17.39
| Professional | | $8.31 | $9.61 | $17.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $11.06 / $14.93
| Professional | | $11.06 | $11.06 | $14.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $12.72 / $21.57
| Professional | | $9.94 | $12.72 | $21.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.10 / $169.00 / $169.00
| Facility | | $27.10 | $169.00 | $169.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $180.00 / $180.00 / $180.00
| Professional | | $180.00 | $180.00 | $180.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.20 / $27.20 / $27.20
| Professional | | $27.20 | $27.20 | $27.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $16.64 / $54.73
| Facility | | $11.06 | $16.64 | $54.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $10.17 / $12.17
| Professional | | $8.59 | $10.17 | $12.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.17 / $34.17 / $34.17
| Professional | | $34.17 | $34.17 | $34.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $5.03 / $22.37
| Professional | | $4.61 | $5.03 | $22.37 |