- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.62 / $56.77 / $106.75
| Facility | | $19.62 | $56.77 | $106.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $10.89 / $22.25
| Professional | | $10.29 | $10.89 | $22.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.05 / $21.07 / $100.00
| Facility | | $11.05 | $21.07 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.27 / $12.11 / $29.50
| Professional | | $7.27 | $12.11 | $29.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.38 / $11.38 / $15.48
| Professional | | $11.38 | $11.38 | $15.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.47 / $18.01 / $41.38
| Facility | | $8.47 | $18.01 | $41.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.63 / $20.34
| Professional | | $7.29 | $13.63 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $54.78 / $6,679.00
| Facility | | $14.41 | $54.78 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.35 / $15.95 / $20.32
| Professional | | $12.35 | $15.95 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $16.78 / $48.14
| Professional | | $12.11 | $16.78 | $48.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.38 / $15.78 / $70.37
| Facility | | $13.38 | $15.78 | $70.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.07 / $100.00 / $100.00
| Facility | | $21.07 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $7.35 / $25.55
| Professional | | $5.81 | $7.35 | $25.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $13.62 / $19.73
| Facility | | $12.35 | $13.62 | $19.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $13.10 / $15.32
| Professional | | $11.75 | $13.10 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $7.35 / $23.08
| Professional | | $4.84 | $7.35 | $23.08 |