- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.52 / $45.07 / $89.04
| Facility | | $18.52 | $45.07 | $89.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.22 / $10.89
| Professional | | $8.44 | $10.22 | $10.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.43 / $25.22 / $100.00
| Facility | | $10.43 | $25.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $11.43 / $27.84
| Professional | | $6.86 | $11.43 | $27.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $31.95 / $55.85
| Facility | | $20.05 | $31.95 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $10.74 / $14.62
| Professional | | $10.74 | $10.74 | $14.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.99 / $16.98 / $39.04
| Facility | | $7.99 | $16.98 | $39.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $12.65 / $19.43
| Professional | | $6.87 | $12.65 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.26 / $3,472.00 / $9,239.00
| Facility | | $32.26 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $16.32 / $19.22
| Professional | | $16.32 | $16.32 | $19.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.43 / $15.84 / $42.54
| Professional | | $11.43 | $15.84 | $42.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $14.97 / $80.25
| Facility | | $12.63 | $14.97 | $80.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.22 / $100.00 / $100.00
| Facility | | $25.22 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.49 / $7.67 / $24.14
| Professional | | $5.49 | $7.67 | $24.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.08 / $13.74 / $26.81
| Facility | | $10.08 | $13.74 | $26.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $11.79 / $14.46
| Professional | | $10.08 | $11.79 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $9.14 / $20.48
| Professional | | $5.67 | $9.14 | $20.48 |