- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.97 / $34.35 / $106.76
| Facility | | $11.97 | $34.35 | $106.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $7.63 / $8.74
| Professional | | $6.47 | $7.63 | $8.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $15.21 / $100.00
| Facility | | $7.97 | $15.21 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $8.74 / $21.29
| Professional | | $4.20 | $8.74 | $21.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.43 / $24.57 / $42.95
| Facility | | $15.43 | $24.57 | $42.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $8.22 / $10.95
| Professional | | $8.22 | $8.22 | $10.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $12.97 / $29.87
| Facility | | $6.11 | $12.97 | $29.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.20 / $9.66 / $14.92
| Professional | | $5.20 | $9.66 | $14.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.71 / $3,472.00 / $9,239.00
| Facility | | $30.71 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.61 / $12.61 / $14.83
| Professional | | $12.61 | $12.61 | $14.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $12.11 / $32.53
| Professional | | $8.74 | $12.11 | $32.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $11.20 / $40.10
| Facility | | $9.66 | $11.20 | $40.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.21 / $100.00 / $100.00
| Facility | | $15.21 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $5.24 / $18.45
| Professional | | $2.10 | $5.24 | $18.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $10.49 / $19.93
| Facility | | $8.44 | $10.49 | $19.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $9.02 / $11.06
| Professional | | $8.10 | $9.02 | $11.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $5.24 / $15.65
| Professional | | $2.62 | $5.24 | $15.65 |