- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.37 / $74.73 / $217.78
| Facility | | $25.37 | $74.73 | $217.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $16.54 / $31.68
| Professional | | $12.96 | $16.54 | $31.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $32.31 / $100.00
| Facility | | $16.89 | $32.31 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $18.52 / $45.11
| Professional | | $8.89 | $18.52 | $45.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $51.61 / $90.23
| Facility | | $32.40 | $51.61 | $90.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.41 / $17.41 / $23.69
| Professional | | $17.41 | $17.41 | $23.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $27.49 / $63.29
| Facility | | $12.95 | $27.49 | $63.29 |
- 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
- $22.04 / $77.40 / $6,679.00
| Facility | | $22.04 | $77.40 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.89 / $24.40 / $31.30
| Professional | | $18.89 | $24.40 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.52 / $25.67 / $73.61
| Professional | | $18.52 | $25.67 | $73.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $24.13 / $180.43
| Facility | | $21.38 | $24.13 | $180.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $100.00 / $100.00
| Facility | | $32.31 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $11.11 / $44.14
| Professional | | $5.25 | $11.11 | $44.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.96 / $22.22 / $41.19
| Facility | | $17.96 | $22.22 | $41.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $19.09 / $23.41
| Professional | | $16.32 | $19.09 | $23.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $11.11 / $39.09
| Professional | | $5.25 | $11.11 | $39.09 |