- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.82 / $39.95 / $106.12
| Facility | | $18.82 | $39.95 | $106.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.69 / $11.99 / $14.30
| Professional | | $11.69 | $11.99 | $14.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.54 / $30.98 / $100.00
| Facility | | $12.54 | $30.98 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $13.74 / $33.47
| Professional | | $6.60 | $13.74 | $33.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.17 / $38.50 / $67.30
| Facility | | $24.17 | $38.50 | $67.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.92 / $12.92 / $17.57
| Professional | | $12.92 | $12.92 | $17.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $20.39 / $46.92
| Facility | | $9.60 | $20.39 | $46.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $15.19 / $23.05
| Professional | | $8.33 | $15.19 | $23.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $19.60 / $23.06
| Professional | | $19.60 | $19.60 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.74 / $19.04 / $51.15
| Professional | | $13.74 | $19.04 | $51.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $17.96 / $177.50
| Facility | | $16.18 | $17.96 | $177.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.98 / $100.00 / $100.00
| Facility | | $30.98 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $8.24 / $29.00
| Professional | | $6.30 | $8.24 | $29.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $16.89 / $32.21
| Facility | | $13.74 | $16.89 | $32.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.12 / $14.16 / $17.37
| Professional | | $12.12 | $14.16 | $17.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $8.24 / $29.00
| Professional | | $6.30 | $8.24 | $29.00 |