- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.97 / $62.32 / $143.38
| Facility | | $22.97 | $62.32 | $143.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $12.36 / $14.18
| Professional | | $11.88 | $12.36 | $14.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.94 / $26.11 / $100.00
| Facility | | $12.94 | $26.11 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $14.18 / $34.54
| Professional | | $8.51 | $14.18 | $34.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $40.14 / $70.18
| Facility | | $25.21 | $40.14 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.33 / $13.33 / $18.13
| Professional | | $13.33 | $13.33 | $18.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.91 / $21.07 / $48.45
| Facility | | $9.91 | $21.07 | $48.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $15.68 / $23.95
| Professional | | $8.52 | $15.68 | $23.95 |
- 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
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $19.64 / $52.76
| Professional | | $14.18 | $19.64 | $52.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.29 / $18.48 / $101.35
| Facility | | $16.29 | $18.48 | $101.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $100.00 / $100.00
| Facility | | $26.11 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.81 / $9.51 / $29.93
| Professional | | $6.81 | $9.51 | $29.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $17.89 / $33.26
| Facility | | $13.71 | $17.89 | $33.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.81 / $11.89 / $29.93
| Professional | | $6.81 | $11.89 | $29.93 |