- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $100.00 / $263.03
| Facility | | $31.62 | $100.00 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.05 / $81.28
| Professional | | $15.14 | $19.05 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $30.90 / $123.03
| Facility | | $19.95 | $30.90 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $21.88 / $46.77
| Professional | | $13.18 | $21.88 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $53.70 / $85.11
| Facility | | $42.66 | $53.70 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $20.89 / $28.18
| Professional | | $20.89 | $20.89 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $34.67 / $85.11
| Facility | | $16.98 | $34.67 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $26.92 / $37.15
| Professional | | $16.22 | $26.92 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $3,630.78 / $9,772.37
| Facility | | $31.62 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $31.62 / $37.15
| Professional | | $31.62 | $31.62 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $66.07
| Professional | | $21.88 | $21.88 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $33.11 / $151.36
| Facility | | $25.70 | $33.11 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $30.90 / $123.03
| Facility | | $19.95 | $30.90 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $21.88 / $46.77
| Professional | | $13.18 | $21.88 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $22.91 / $33.11
| Professional | | $19.50 | $22.91 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $21.88 / $37.15
| Facility | | $12.59 | $21.88 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $19.95 / $52.48
| Professional | | $10.96 | $19.95 | $52.48 |