- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.40 / $83.37 / $175.64
| Facility | | $29.40 | $83.37 | $175.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $15.09 / $29.52
| Professional | | $14.56 | $15.09 | $29.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.46 / $33.63 / $100.00
| Facility | | $15.46 | $33.63 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $16.94 / $41.26
| Professional | | $8.13 | $16.94 | $41.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.83 / $47.50 / $83.05
| Facility | | $29.83 | $47.50 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.92 / $15.92 / $21.67
| Professional | | $15.92 | $15.92 | $21.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.83 / $25.17 / $57.90
| Facility | | $11.83 | $25.17 | $57.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $18.73 / $28.47
| Professional | | $10.19 | $18.73 | $28.47 |
- 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
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.94 / $23.48 / $63.05
| Professional | | $16.94 | $23.48 | $63.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.94 / $22.08 / $73.80
| Facility | | $19.94 | $22.08 | $73.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.63 / $100.00 / $100.00
| Facility | | $33.63 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $10.16 / $35.76
| Professional | | $7.35 | $10.16 | $35.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $10.16 / $32.29
| Professional | | $7.35 | $10.16 | $32.29 |