- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.34 / $65.42 / $113.05
| Facility | | $25.34 | $65.42 | $113.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $12.71 / $13.91
| Professional | | $12.23 | $12.71 | $13.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.32 / $32.31 / $100.00
| Facility | | $13.32 | $32.31 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $14.60 / $35.56
| Professional | | $8.76 | $14.60 | $35.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $40.96 / $71.59
| Facility | | $25.72 | $40.96 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.72 / $13.72 / $18.68
| Professional | | $13.72 | $13.72 | $18.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $21.68 / $49.90
| Facility | | $10.19 | $21.68 | $49.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $16.14 / $24.86
| Professional | | $8.74 | $16.14 | $24.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.60 / $20.23 / $54.34
| Professional | | $14.60 | $20.23 | $54.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $19.03 / $37.72
| Facility | | $16.78 | $19.03 | $37.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $100.00 / $100.00
| Facility | | $32.31 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.01 / $9.78 / $30.81
| Professional | | $7.01 | $9.78 | $30.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.06 / $18.47
| Professional | | $12.88 | $15.06 | $18.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.01 / $9.78 / $30.81
| Professional | | $7.01 | $9.78 | $30.81 |