- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.84 / $73.70 / $149.74
| Facility | | $24.84 | $73.70 | $149.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $12.82 / $14.70
| Professional | | $10.87 | $12.82 | $14.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.41 / $25.58 / $100.00
| Facility | | $13.41 | $25.58 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $14.70 / $35.81
| Professional | | $7.06 | $14.70 | $35.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $40.96 / $71.59
| Facility | | $25.72 | $40.96 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $13.82 / $18.80
| Professional | | $13.82 | $13.82 | $18.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.27 / $21.86 / $50.25
| Facility | | $10.27 | $21.86 | $50.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $16.26 / $24.86
| Professional | | $8.74 | $16.26 | $24.86 |
- 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
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.70 / $20.37 / $54.74
| Professional | | $14.70 | $20.37 | $54.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $19.16 / $134.85
| Facility | | $16.23 | $19.16 | $134.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.58 / $100.00 / $100.00
| Facility | | $25.58 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.82 / $31.04
| Professional | | $5.25 | $8.82 | $31.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.26 / $17.57 / $32.68
| Facility | | $14.26 | $17.57 | $32.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.26 / $15.17 / $18.61
| Professional | | $14.26 | $15.17 | $18.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.82 / $26.33
| Professional | | $5.25 | $8.82 | $26.33 |