- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.41 / $21.25 / $80.67
| Facility | | $9.41 | $21.25 | $80.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $5.98 / $6.87
| Professional | | $5.15 | $5.98 | $6.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.27 / $11.95 / $100.00
| Facility | | $6.27 | $11.95 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $6.87 / $16.73
| Professional | | $3.30 | $6.87 | $16.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $19.66 / $34.38
| Facility | | $12.35 | $19.66 | $34.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $8.78
| Professional | | $6.46 | $6.46 | $8.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $10.22 / $23.48
| Facility | | $4.80 | $10.22 | $23.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.16 / $7.60 / $11.75
| Professional | | $4.16 | $7.60 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.41 / $3,472.00 / $9,239.00
| Facility | | $27.41 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $9.81 / $11.54
| Professional | | $9.81 | $9.81 | $11.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $9.52 / $25.56
| Professional | | $6.87 | $9.52 | $25.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $9.08 / $100.30
| Facility | | $8.09 | $9.08 | $100.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.95 / $100.00 / $100.00
| Facility | | $11.95 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $4.12 / $14.51
| Professional | | $3.15 | $4.12 | $14.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.87 / $8.21 / $11.27
| Facility | | $6.87 | $8.21 | $11.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $7.08 / $10.31
| Professional | | $6.06 | $7.08 | $10.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.12 / $13.09
| Professional | | $2.75 | $4.12 | $13.09 |