- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.78 / $77.44 / $298.54
| Facility | | $14.78 | $77.44 | $298.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $8.35 / $12.22
| Professional | | $7.39 | $8.35 | $12.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.63 / $20.88 / $100.00
| Facility | | $9.63 | $20.88 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.07 / $10.56 / $25.72
| Professional | | $5.07 | $10.56 | $25.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.52 / $29.49 / $51.55
| Facility | | $18.52 | $29.49 | $51.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.45 / $13.22 / $13.22
| Professional | | $10.45 | $13.22 | $13.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.38 / $15.72 / $36.10
| Facility | | $7.38 | $15.72 | $36.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $11.69 / $18.07
| Professional | | $6.45 | $11.69 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.57 / $59.82 / $6,679.00
| Facility | | $12.57 | $59.82 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.77 / $13.91 / $18.13
| Professional | | $10.77 | $13.91 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $14.64 / $41.99
| Professional | | $10.56 | $14.64 | $41.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $13.77 / $92.85
| Facility | | $11.68 | $13.77 | $92.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.88 / $100.00 / $100.00
| Facility | | $20.88 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.34 / $22.31
| Professional | | $3.15 | $6.34 | $22.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $11.98 / $24.08
| Facility | | $10.21 | $11.98 | $24.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $11.43 / $15.84
| Professional | | $9.77 | $11.43 | $15.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.34 / $22.31
| Professional | | $3.15 | $6.34 | $22.31 |