- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.74 / $43.51 / $118.20
| Facility | | $14.74 | $43.51 | $118.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $10.11 / $11.05
| Professional | | $9.52 | $10.11 | $11.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.59 / $30.53 / $100.00
| Facility | | $10.59 | $30.53 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $11.61 / $28.28
| Professional | | $6.97 | $11.61 | $28.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.57 / $32.76 / $57.28
| Facility | | $20.57 | $32.76 | $57.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.91 / $10.91 / $14.84
| Professional | | $10.91 | $10.91 | $14.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $17.23 / $39.65
| Facility | | $8.11 | $17.23 | $39.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.82 / $19.43
| Professional | | $7.08 | $12.82 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.35 / $3,472.00 / $9,239.00
| Facility | | $40.35 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $16.80 / $19.78
| Professional | | $16.80 | $16.80 | $19.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $16.09 / $43.22
| Professional | | $11.61 | $16.09 | $43.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.35 / $15.12 / $86.20
| Facility | | $13.35 | $15.12 | $86.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.53 / $100.00 / $100.00
| Facility | | $30.53 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.78 / $24.48
| Professional | | $5.57 | $7.78 | $24.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $14.02 / $26.46
| Facility | | $10.75 | $14.02 | $26.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $11.97 / $14.68
| Professional | | $10.24 | $11.97 | $14.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.22 / $7.78 / $22.13
| Professional | | $5.22 | $7.78 | $22.13 |