- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.35 / $45.91 / $91.61
| Facility | | $22.35 | $45.91 | $91.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $13.67 / $16.76
| Professional | | $13.14 | $13.67 | $16.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.75 / $29.16 / $100.00
| Facility | | $13.75 | $29.16 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $16.76 / $40.82
| Professional | | $10.11 | $16.76 | $40.82 |
- 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
- $15.75 / $15.75 / $19.28
| Professional | | $15.75 | $15.75 | $19.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $22.75 / $51.51
| Facility | | $11.71 | $22.75 | $51.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $19.41 / $25.31
| Professional | | $9.99 | $19.41 | $25.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.94 / $68.23 / $6,679.00
| Facility | | $19.94 | $68.23 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.10 / $22.08 / $28.56
| Professional | | $17.10 | $22.08 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.76 / $23.23 / $59.92
| Professional | | $16.76 | $23.23 | $59.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.55 / $20.41 / $34.11
| Facility | | $13.55 | $20.41 | $34.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.16 / $100.00 / $100.00
| Facility | | $29.16 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $16.76 / $31.82
| Professional | | $9.61 | $16.76 | $31.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.40 / $20.02 / $23.81
| Facility | | $15.40 | $20.02 | $23.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.78 / $16.32 / $19.05
| Professional | | $14.78 | $16.32 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $16.76 / $26.99
| Professional | | $10.06 | $16.76 | $26.99 |