- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $42.23 / $109.94
| Facility | | $12.68 | $42.23 | $109.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.01 / $12.68 / $18.77
| Professional | | $12.01 | $12.68 | $18.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.87 / $32.65 / $100.00
| Facility | | $13.87 | $32.65 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.16 / $18.75 / $41.32
| Professional | | $11.16 | $18.75 | $41.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.79 / $45.07 / $74.48
| Facility | | $29.79 | $45.07 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $17.64 / $265.26
| Professional | | $17.03 | $17.64 | $265.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $22.94 / $45.51
| Facility | | $12.64 | $22.94 | $45.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.72 / $28.40
| Professional | | $9.76 | $14.72 | $28.40 |
- 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
- $27.08 / $27.08 / $31.86
| Professional | | $27.08 | $27.08 | $31.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.77 / $26.02 / $60.44
| Professional | | $18.77 | $26.02 | $60.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.97 / $17.35 / $425.00
| Facility | | $11.97 | $17.35 | $425.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.65 / $100.00 / $100.00
| Facility | | $32.65 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $11.26 / $28.11
| Professional | | $7.51 | $11.26 | $28.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $11.26 / $28.11
| Professional | | $7.51 | $11.26 | $28.11 |