- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $28.43 / $50.89
| Facility | | $8.06 | $28.43 | $50.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $8.06 / $16.92
| Professional | | $7.63 | $8.06 | $16.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $19.14 / $100.00
| Facility | | $8.13 | $19.14 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $11.00 / $26.29
| Professional | | $5.25 | $11.00 | $26.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.95 / $25.40 / $44.40
| Facility | | $15.95 | $25.40 | $44.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $10.34 / $10.89
| Professional | | $10.34 | $10.34 | $10.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.69 / $13.44 / $28.91
| Facility | | $7.69 | $13.44 | $28.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $9.36 / $16.53
| Professional | | $6.14 | $9.36 | $16.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.36 / $3,472.00 / $9,239.00
| Facility | | $38.36 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.87 / $15.87 / $18.67
| Professional | | $15.87 | $15.87 | $18.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $15.25 / $35.42
| Professional | | $11.00 | $15.25 | $35.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $13.79 / $24.00
| Facility | | $13.74 | $13.79 | $24.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.14 / $100.00 / $100.00
| Facility | | $19.14 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $6.60 / $17.87
| Professional | | $4.40 | $6.60 | $17.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $6.60 / $17.87
| Professional | | $4.62 | $6.60 | $17.87 |