- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.35 / $40.75 / $133.52
| Facility | | $18.35 | $40.75 | $133.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.67 / $14.45
| Professional | | $11.22 | $11.67 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $25.14 / $100.00
| Facility | | $11.74 | $25.14 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $14.45 / $35.20
| Professional | | $8.67 | $14.45 | $35.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.63 / $36.04 / $63.00
| Facility | | $22.63 | $36.04 | $63.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.58 / $13.58 / $16.47
| Professional | | $13.58 | $13.58 | $16.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $19.42 / $43.98
| Facility | | $10.10 | $19.42 | $43.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $14.24 / $22.20
| Professional | | $8.74 | $14.24 | $22.20 |
- 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
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $20.03 / $48.41
| Professional | | $14.45 | $20.03 | $48.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.58 / $16.78 / $43.42
| Facility | | $11.58 | $16.78 | $43.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.14 / $100.00 / $100.00
| Facility | | $25.14 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.38 / $8.67 / $27.18
| Professional | | $6.38 | $8.67 | $27.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $14.01 / $16.28
| Professional | | $12.74 | $14.01 | $16.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $14.45 / $17.34
| Facility | | $13.01 | $14.45 | $17.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.38 / $8.67 / $27.18
| Professional | | $6.38 | $8.67 | $27.18 |