- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.52 / $45.05 / $73.70
| Facility | | $16.52 | $45.05 | $73.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.64 / $16.52 / $29.66
| Professional | | $15.64 | $16.52 | $29.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.81 / $30.17 / $100.00
| Facility | | $15.81 | $30.17 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.40 / $17.34 / $42.24
| Professional | | $10.40 | $17.34 | $42.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.79 / $51.14 / $84.50
| Facility | | $33.79 | $51.14 | $84.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $16.30 / $22.18
| Professional | | $16.30 | $16.30 | $22.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.12 / $25.76 / $59.27
| Facility | | $12.12 | $25.76 | $59.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $19.18 / $29.38
| Professional | | $10.41 | $19.18 | $29.38 |
- 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
- $25.20 / $25.20 / $29.65
| Professional | | $25.20 | $25.20 | $29.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.34 / $24.03 / $64.52
| Professional | | $17.34 | $24.03 | $64.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.17 / $100.00 / $100.00
| Facility | | $30.17 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $11.64 / $36.61
| Professional | | $8.32 | $11.64 | $36.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $14.54 / $33.04
| Professional | | $8.32 | $14.54 | $33.04 |