- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.59 / $72.00 / $242.53
| Facility | | $25.59 | $72.00 | $242.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $14.68 / $32.60
| Professional | | $12.23 | $14.68 | $32.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.87 / $30.53 / $100.00
| Facility | | $14.87 | $30.53 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.30 / $39.70
| Professional | | $9.77 | $16.30 | $39.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.81 / $45.87 / $80.20
| Facility | | $28.81 | $45.87 | $80.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $20.86
| Professional | | $15.32 | $15.32 | $20.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.39 / $24.23 / $55.72
| Facility | | $11.39 | $24.23 | $55.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $18.02 / $27.57
| Professional | | $9.77 | $18.02 | $27.57 |
- 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
- $23.34 / $23.34 / $27.46
| Professional | | $23.34 | $23.34 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $22.59 / $60.67
| Professional | | $16.30 | $22.59 | $60.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.82 / $22.53 / $233.70
| Facility | | $18.82 | $22.53 | $233.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.53 / $100.00 / $100.00
| Facility | | $30.53 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $10.93 / $34.43
| Professional | | $7.82 | $10.93 | $34.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.76 / $19.55 / $36.26
| Facility | | $15.76 | $19.55 | $36.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.37 / $16.80 / $20.62
| Professional | | $14.37 | $16.80 | $20.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $9.77 / $31.07
| Professional | | $7.82 | $9.77 | $31.07 |