- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $24.17 / $42.24
| Facility | | $7.47 | $24.17 | $42.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $15.69
| Professional | | $7.47 | $7.47 | $15.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $18.69 / $100.00
| Facility | | $9.80 | $18.69 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $10.74 / $24.92
| Professional | | $5.16 | $10.74 | $24.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.38 / $30.30 / $52.98
| Facility | | $14.38 | $30.30 | $52.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $10.10 / $10.63
| Professional | | $10.02 | $10.10 | $10.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $15.97 / $36.67
| Facility | | $7.51 | $15.97 | $36.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $10.09 / $18.07
| Professional | | $6.45 | $10.09 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.63 / $3,472.00 / $9,239.00
| Facility | | $32.63 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.41 / $15.41 / $18.13
| Professional | | $15.41 | $15.41 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $14.89 / $38.29
| Professional | | $10.74 | $14.89 | $38.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.69 / $100.00 / $100.00
| Facility | | $18.69 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.44 / $18.01
| Professional | | $3.15 | $6.44 | $18.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $10.74 / $12.89
| Facility | | $9.67 | $10.74 | $12.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.44 / $18.01
| Professional | | $3.15 | $6.44 | $18.01 |