- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.73 / $58.07 / $166.63
| Facility | | $18.73 | $58.07 | $166.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $12.30 / $13.68
| Professional | | $11.88 | $12.30 | $13.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.47 / $23.90 / $100.00
| Facility | | $12.47 | $23.90 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $13.68 / $33.32
| Professional | | $6.57 | $13.68 | $33.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.17 / $38.50 / $67.30
| Facility | | $24.17 | $38.50 | $67.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $17.48 / $17.48
| Professional | | $13.54 | $17.48 | $17.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.56 / $20.28 / $46.69
| Facility | | $9.56 | $20.28 | $46.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $15.10 / $23.05
| Professional | | $8.33 | $15.10 | $23.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.95 / $47.00 / $6,679.00
| Facility | | $13.95 | $47.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.95 / $18.02 / $23.06
| Professional | | $13.95 | $18.02 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.68 / $18.96 / $54.35
| Professional | | $13.68 | $18.96 | $54.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.11 / $18.98 / $110.95
| Facility | | $16.11 | $18.98 | $110.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.90 / $100.00 / $100.00
| Facility | | $23.90 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $8.21 / $28.85
| Professional | | $2.10 | $8.21 | $28.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.27 / $16.32 / $30.42
| Facility | | $13.27 | $16.32 | $30.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $14.10 / $17.29
| Professional | | $12.06 | $14.10 | $17.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $8.21 / $26.08
| Professional | | $2.10 | $8.21 | $26.08 |