- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.36 / $39.97 / $73.12
| Facility | | $14.36 | $39.97 | $73.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.60 / $14.36 / $27.37
| Professional | | $13.60 | $14.36 | $27.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.75 / $30.92 / $100.00
| Facility | | $13.75 | $30.92 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $17.77 / $43.28
| Professional | | $8.40 | $17.77 | $43.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.75 / $42.60 / $74.48
| Facility | | $26.75 | $42.60 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.70 / $16.70 / $19.28
| Professional | | $16.70 | $16.70 | $19.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $22.99 / $51.51
| Facility | | $12.41 | $22.99 | $51.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $16.66 / $26.85
| Professional | | $10.62 | $16.66 | $26.85 |
- 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
- $25.68 / $25.68 / $30.21
| Professional | | $25.68 | $25.68 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.77 / $24.63 / $58.74
| Professional | | $17.77 | $24.63 | $58.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.92 / $100.00 / $100.00
| Facility | | $30.92 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $10.66 / $31.82
| Professional | | $7.47 | $10.66 | $31.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $10.66 / $70.47
| Professional | | $7.47 | $10.66 | $70.47 |