- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.55 / $85.14 / $272.23
| Facility | | $26.55 | $85.14 | $272.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.33 / $16.89 / $34.10
| Professional | | $14.33 | $16.89 | $34.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.67 / $33.72 / $100.00
| Facility | | $17.67 | $33.72 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $19.38 / $47.21
| Professional | | $9.30 | $19.38 | $47.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.95 / $54.07 / $94.53
| Facility | | $33.95 | $54.07 | $94.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.22 / $18.22 / $24.79
| Professional | | $18.22 | $18.22 | $24.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.55 / $28.77 / $66.23
| Facility | | $13.55 | $28.77 | $66.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $21.42 / $32.99
| Professional | | $11.66 | $21.42 | $32.99 |
- 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
- $28.00 / $28.00 / $32.94
| Professional | | $28.00 | $28.00 | $32.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.38 / $26.86 / $72.13
| Professional | | $19.38 | $26.86 | $72.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.64 / $26.89 / $275.52
| Facility | | $22.64 | $26.89 | $275.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.72 / $100.00 / $100.00
| Facility | | $33.72 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.63 / $40.90
| Professional | | $7.35 | $11.63 | $40.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.73 / $23.26 / $44.18
| Facility | | $18.73 | $23.26 | $44.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.09 / $19.98 / $24.51
| Professional | | $17.09 | $19.98 | $24.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.63 / $36.94
| Professional | | $7.35 | $11.63 | $36.94 |