- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $46.05 / $85.00
| Facility | | $16.69 | $46.05 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.81 / $16.69 / $29.98
| Professional | | $15.81 | $16.69 | $29.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.99 / $38.06 / $100.00
| Facility | | $15.99 | $38.06 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $17.89 / $43.60
| Professional | | $10.74 | $17.89 | $43.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.86 / $49.15 / $85.93
| Facility | | $30.86 | $49.15 | $85.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.82 / $16.82 / $22.41
| Professional | | $16.82 | $16.82 | $22.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $26.02 / $59.85
| Facility | | $12.51 | $26.02 | $59.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $19.37 / $29.83
| Professional | | $10.82 | $19.37 | $29.83 |
- 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
- $17.89 / $24.81 / $65.22
| Professional | | $17.89 | $24.81 | $65.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.06 / $100.00 / $100.00
| Facility | | $38.06 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $11.75 / $36.97
| Professional | | $8.59 | $11.75 | $36.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.16 / $10.74 / $31.36
| Professional | | $7.16 | $10.74 | $31.36 |