- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.93 / $22.71 / $64.08
| Facility | | $10.93 | $22.71 | $64.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.16 / $10.71 / $14.18
| Professional | | $6.16 | $10.71 | $14.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.21 / $24.56 / $100.00
| Facility | | $12.21 | $24.56 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $10.47 / $22.10
| Professional | | $5.74 | $10.47 | $22.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $19.43 / $34.02
| Facility | | $8.06 | $19.43 | $34.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $15.18 / $23.37
| Professional | | $8.09 | $15.18 | $23.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $11.22 / $12.34
| Professional | | $8.27 | $11.22 | $12.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.63 / $12.21 / $28.70
| Facility | | $11.63 | $12.21 | $28.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.63 / $17.45 / $31.98
| Facility | | $11.63 | $17.45 | $31.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $19.07 / $31.98
| Facility | | $13.37 | $19.07 | $31.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $11.63 / $31.44
| Professional | | $8.72 | $11.63 | $31.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $5.23 / $12.60
| Professional | | $4.88 | $5.23 | $12.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $5.23 / $6.02
| Professional | | $5.23 | $5.23 | $6.02 |