- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $31.96 / $108.17
| Facility | | $12.31 | $31.96 | $108.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.86 / $12.31
| Professional | | $10.47 | $10.86 | $12.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $14.48 / $70.52
| Facility | | $14.48 | $14.48 | $70.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $5.79 / $8.76
| Professional | | $5.79 | $5.79 | $8.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.15 / $49.15 / $73.56
| Professional | | $32.15 | $49.15 | $73.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $28.03 / $65.31
| Facility | | $10.11 | $28.03 | $65.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $8.69 / $16.93
| Professional | | $6.60 | $8.69 | $16.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $18.10 / $21.43
| Professional | | $17.38 | $18.10 | $21.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $10.55 / $12.31
| Facility | | $9.32 | $10.55 | $12.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.03 / $16.41 / $28.00
| Professional | | $8.03 | $16.41 | $28.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.57 / $17.59 / $4,071.00
| Facility | | $10.57 | $17.59 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $17.53 / $4,071.00
| Professional | | $10.14 | $17.53 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.08 / $6.08 / $6.08
| Facility | | $6.08 | $6.08 | $6.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $7.24 / $10.50
| Professional | | $6.08 | $7.24 | $10.50 |