- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.13 / $82.34 / $153.29
| Facility | | $30.13 | $82.34 | $153.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $9.75 / $26.78
| Professional | | $8.69 | $9.75 | $26.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.21 / $24.78 / $100.00
| Facility | | $12.21 | $24.78 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $13.39 / $38.40
| Professional | | $7.35 | $13.39 | $38.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $37.68 / $65.88
| Facility | | $23.66 | $37.68 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.26 / $16.76 / $16.76
| Professional | | $13.26 | $16.76 | $16.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $20.19 / $44.51
| Facility | | $9.35 | $20.19 | $44.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $15.28 / $37.51
| Professional | | $8.11 | $15.28 | $37.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $55.44 / $6,679.00
| Facility | | $15.93 | $55.44 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.66 / $17.64 / $22.51
| Professional | | $13.66 | $17.64 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.39 / $18.55 / $53.23
| Professional | | $13.39 | $18.55 | $53.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $17.45 / $85.43
| Facility | | $14.80 | $17.45 | $85.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.78 / $100.00 / $100.00
| Facility | | $24.78 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $8.02 / $28.28
| Professional | | $6.43 | $8.02 | $28.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.99 / $15.73 / $29.78
| Facility | | $12.99 | $15.73 | $29.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.40 / $14.49 / $20.09
| Professional | | $12.40 | $14.49 | $20.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $8.02 / $25.52
| Professional | | $6.43 | $8.02 | $25.52 |