- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.79 / $26.88 / $92.57
| Facility | | $15.79 | $26.88 | $92.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $15.79 / $26.76
| Professional | | $9.66 | $15.79 | $26.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $33.60 / $100.00
| Facility | | $17.64 | $33.60 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $14.39 / $28.01
| Professional | | $8.30 | $14.39 | $28.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.64 / $30.49 / $44.83
| Facility | | $8.64 | $30.49 | $44.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.55 / $19.41 / $24.84
| Professional | | $10.55 | $19.41 | $24.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $16.21 / $17.83
| Professional | | $11.96 | $16.21 | $17.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $17.64 / $37.09
| Facility | | $16.80 | $17.64 | $37.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $25.20 / $46.20
| Facility | | $16.80 | $25.20 | $46.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.12 / $15.12 / $15.12
| Professional | | $15.12 | $15.12 | $15.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.32 / $27.57 / $46.20
| Facility | | $19.32 | $27.57 | $46.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $16.80 / $44.91
| Professional | | $4.84 | $16.80 | $44.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $20.16 / $20.16
| Facility | | $16.80 | $20.16 | $20.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $7.06 / $18.82
| Professional | | $7.06 | $7.06 | $18.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.56 / $7.56 / $8.69
| Professional | | $7.56 | $7.56 | $8.69 |