- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.32 / $20.43 / $37.27
| Facility | | $7.32 | $20.43 | $37.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $7.32 / $15.11
| Professional | | $6.92 | $7.32 | $15.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $23.45 / $100.00
| Facility | | $7.25 | $23.45 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.81 / $23.84
| Professional | | $5.25 | $9.81 | $23.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $22.12 / $38.68
| Facility | | $13.89 | $22.12 | $38.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $9.22 / $9.82
| Professional | | $9.22 | $9.22 | $9.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.86 / $12.15 / $26.23
| Facility | | $6.86 | $12.15 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $8.50 / $14.98
| Professional | | $5.60 | $8.50 | $14.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.81 / $3,472.00 / $9,239.00
| Facility | | $34.81 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $16.48
| Professional | | $14.01 | $14.01 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $13.60 / $31.59
| Professional | | $9.81 | $13.60 | $31.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.45 / $100.00 / $100.00
| Facility | | $23.45 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $5.89 / $16.22
| Professional | | $3.92 | $5.89 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $5.89 / $16.22
| Professional | | $3.92 | $5.89 | $16.22 |