- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $30.20 / $100.00
| Facility | | $10.23 | $30.20 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $15.49 / $47.86
| Professional | | $7.94 | $15.49 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $30.90
| Facility | | $12.02 | $12.02 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $6.17 / $28.84
| Professional | | $5.89 | $6.17 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $12.02 / $12.02
| Facility | | $7.24 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.02 / $12.02
| Professional | | $8.71 | $12.02 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $28.84 / $128.82
| Facility | | $9.12 | $28.84 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $14.45 / $81.28
| Professional | | $7.76 | $14.45 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $14.45 / $33.11
| Facility | | $7.59 | $14.45 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $8.32 / $23.44
| Professional | | $5.62 | $8.32 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $10.72
| Facility | | $10.72 | $10.72 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $12.02 / $19.95
| Professional | | $10.47 | $12.02 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $23.44 / $83.18
| Facility | | $8.71 | $23.44 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $22.39 / $50,118.72
| Facility | | $13.80 | $22.39 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $10.72 / $14.45
| Facility | | $7.24 | $10.72 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.24 / $18.20
| Professional | | $5.01 | $7.24 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $10.72 / $28.84
| Facility | | $10.23 | $10.72 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.59 / $38.90
| Professional | | $10.23 | $12.59 | $38.90 |