- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.47 / $71.00 / $143.07
| Facility | | $23.47 | $71.00 | $143.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $14.78 / $19.59
| Professional | | $11.86 | $14.78 | $19.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.46 / $29.48 / $120.00
| Facility | | $15.46 | $29.48 | $120.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $16.94 / $41.26
| Professional | | $8.40 | $16.94 | $41.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.83 / $47.50 / $83.05
| Facility | | $29.83 | $47.50 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.92 / $15.92 / $21.67
| Professional | | $15.92 | $15.92 | $21.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.83 / $25.17 / $57.90
| Facility | | $11.83 | $25.17 | $57.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $18.73 / $28.47
| Professional | | $10.19 | $18.73 | $28.47 |
- 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
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.94 / $23.48 / $63.05
| Professional | | $16.94 | $23.48 | $63.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.72 / $22.08 / $108.69
| Facility | | $18.72 | $22.08 | $108.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.48 / $120.00 / $120.00
| Facility | | $29.48 | $120.00 | $120.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $10.16 / $35.76
| Professional | | $8.13 | $10.16 | $35.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.69 / $23.34 / $39.72
| Facility | | $15.69 | $23.34 | $39.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.94 / $17.47 / $21.43
| Professional | | $14.94 | $17.47 | $21.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $10.16 / $30.33
| Professional | | $8.40 | $10.16 | $30.33 |