- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $66.07 / $120.23
| Facility | | $21.38 | $66.07 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.59 / $42.66
| Professional | | $10.00 | $12.59 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $20.42 / $100.00
| Facility | | $13.18 | $20.42 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.45 / $30.90
| Professional | | $8.71 | $14.45 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $35.48 / $57.54
| Facility | | $28.84 | $35.48 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $13.80 / $18.62
| Professional | | $13.80 | $13.80 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $23.44 / $56.23
| Facility | | $11.48 | $23.44 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $17.78 / $25.12
| Professional | | $10.72 | $17.78 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $3,630.78 / $9,772.37
| Facility | | $20.42 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $20.89 / $24.55
| Professional | | $20.89 | $20.89 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $44.67
| Professional | | $14.45 | $14.45 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $19.05 / $38.02
| Facility | | $17.38 | $19.05 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $20.42 / $100.00
| Facility | | $13.18 | $20.42 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.45 / $30.90
| Professional | | $8.71 | $14.45 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.14 / $21.88
| Professional | | $12.88 | $15.14 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $14.45 / $23.99
| Facility | | $8.32 | $14.45 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $12.88 / $34.67
| Professional | | $7.24 | $12.88 | $34.67 |