- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.14 / $24.25 / $80.52
| Facility | | $18.14 | $24.25 | $80.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $11.80 / $12.62
| Professional | | $11.47 | $11.80 | $12.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.08 / $23.06 / $100.00
| Facility | | $12.08 | $23.06 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $13.25 / $32.27
| Professional | | $7.95 | $13.25 | $32.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.15 / $36.86 / $64.45
| Facility | | $23.15 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.46 / $12.46 / $16.95
| Professional | | $12.46 | $12.46 | $16.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $19.67 / $45.28
| Facility | | $9.26 | $19.67 | $45.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $14.66 / $22.60
| Professional | | $7.91 | $14.66 | $22.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.52 / $3,472.00 / $9,239.00
| Facility | | $49.52 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.14 / $19.14 / $22.51
| Professional | | $19.14 | $19.14 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.25 / $18.36 / $49.31
| Professional | | $13.25 | $18.36 | $49.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.60 / $17.26 / $80.16
| Facility | | $15.60 | $17.26 | $80.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.06 / $100.00 / $100.00
| Facility | | $23.06 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $8.40 / $27.98
| Professional | | $6.36 | $8.40 | $27.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $7.95 / $25.26
| Professional | | $6.36 | $7.95 | $25.26 |