- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $45.65 / $99.01
| Facility | | $17.60 | $45.65 | $99.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $9.35 / $10.74
| Professional | | $9.10 | $9.35 | $10.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $20.80 / $100.00
| Facility | | $9.80 | $20.80 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $10.74 / $26.16
| Professional | | $6.44 | $10.74 | $26.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $30.30 / $52.98
| Facility | | $19.03 | $30.30 | $52.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $13.74
| Professional | | $10.10 | $10.10 | $13.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $15.97 / $36.67
| Facility | | $7.51 | $15.97 | $36.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $11.87 / $18.07
| Professional | | $6.45 | $11.87 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.25 / $3,472.00 / $9,239.00
| Facility | | $35.25 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.41 / $15.41 / $18.13
| Professional | | $15.41 | $15.41 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $14.89 / $39.97
| Professional | | $10.74 | $14.89 | $39.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $14.05 / $95.16
| Facility | | $12.64 | $14.05 | $95.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.80 / $100.00 / $100.00
| Facility | | $20.80 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $7.20 / $22.68
| Professional | | $5.16 | $7.20 | $22.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $12.90 / $24.48
| Facility | | $9.94 | $12.90 | $24.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $11.07 / $13.58
| Professional | | $9.47 | $11.07 | $13.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $6.44 / $20.47
| Professional | | $5.16 | $6.44 | $20.47 |