- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.55 / $55.57 / $118.50
| Facility | | $16.55 | $55.57 | $118.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.07 / $10.54 / $12.09
| Professional | | $9.07 | $10.54 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $25.22 / $100.00
| Facility | | $11.02 | $25.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $12.09 / $29.45
| Professional | | $7.25 | $12.09 | $29.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $11.36 / $15.46
| Professional | | $11.36 | $11.36 | $15.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $17.98 / $41.30
| Facility | | $8.44 | $17.98 | $41.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.36 / $20.34
| Professional | | $7.29 | $13.36 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.27 / $3,472.00 / $9,239.00
| Facility | | $49.27 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.09 / $16.76 / $44.99
| Professional | | $12.09 | $16.76 | $44.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.23 / $16.32 / $118.30
| Facility | | $14.23 | $16.32 | $118.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.22 / $100.00 / $100.00
| Facility | | $25.22 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $7.35 / $25.52
| Professional | | $5.80 | $7.35 | $25.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.73 / $14.44 / $26.89
| Facility | | $11.73 | $14.44 | $26.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $12.46 / $15.28
| Professional | | $10.66 | $12.46 | $15.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $7.25 / $23.04
| Professional | | $5.80 | $7.25 | $23.04 |