- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $33.97 / $85.42
| Facility | | $13.73 | $33.97 | $85.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $7.42 / $26.81
| Professional | | $7.13 | $7.42 | $26.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $14.25 / $100.00
| Facility | | $7.48 | $14.25 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $8.19 / $19.95
| Professional | | $4.59 | $8.19 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $22.94 / $40.10
| Facility | | $14.40 | $22.94 | $40.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $7.70 / $10.47
| Professional | | $7.70 | $7.70 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.72 / $12.17 / $27.99
| Facility | | $5.72 | $12.17 | $27.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.50 / $14.01
| Professional | | $5.00 | $9.50 | $14.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $42.79 / $6,679.00
| Facility | | $9.75 | $42.79 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $10.79 / $13.73
| Professional | | $8.35 | $10.79 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.19 / $11.35 / $32.59
| Professional | | $8.19 | $11.35 | $32.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.97 / $10.68 / $65.84
| Facility | | $8.97 | $10.68 | $65.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $100.00 / $100.00
| Facility | | $14.25 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $4.91 / $17.28
| Professional | | $3.93 | $4.91 | $17.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.58 / $9.77 / $19.20
| Facility | | $7.58 | $9.77 | $19.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $8.44 / $10.36
| Professional | | $7.94 | $8.44 | $10.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $4.91 / $17.28
| Professional | | $3.93 | $4.91 | $17.28 |