- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.45 / $77.00 / $186.30
| Facility | | $25.45 | $77.00 | $186.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.74 / $16.59 / $22.30
| Professional | | $13.74 | $16.59 | $22.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.95 / $32.33 / $100.00
| Facility | | $16.95 | $32.33 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $18.57 / $45.26
| Professional | | $9.44 | $18.57 | $45.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.92 / $52.42 / $91.65
| Facility | | $32.92 | $52.42 | $91.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.47 / $17.47 / $23.77
| Professional | | $17.47 | $17.47 | $23.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.99 / $27.60 / $63.48
| Facility | | $12.99 | $27.60 | $63.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.24 / $21.06 / $62.05
| Professional | | $11.24 | $21.06 | $62.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.11 / $77.08 / $6,679.00
| Facility | | $22.11 | $77.08 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.95 / $24.48 / $31.30
| Professional | | $18.95 | $24.48 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.57 / $25.75 / $73.87
| Professional | | $18.57 | $25.75 | $73.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.46 / $24.22 / $169.20
| Facility | | $21.46 | $24.22 | $169.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.33 / $100.00 / $100.00
| Facility | | $32.33 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $11.15 / $44.29
| Professional | | $8.92 | $11.15 | $44.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.03 / $22.21 / $41.32
| Facility | | $18.03 | $22.21 | $41.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.39 / $19.16 / $23.50
| Professional | | $16.39 | $19.16 | $23.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $11.15 / $39.22
| Professional | | $8.92 | $11.15 | $39.22 |