- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.78 / $52.63 / $125.00
| Facility | | $12.78 | $52.63 | $125.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $14.48 / $41.78
| Professional | | $9.08 | $14.48 | $41.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.27 / $29.21 / $293.00
| Facility | | $13.27 | $29.21 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $9.53 / $28.16
| Professional | | $5.98 | $9.53 | $28.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.36 / $77.20 / $157.36
| Facility | | $31.36 | $77.20 | $157.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $10.72 / $58.13
| Professional | | $7.50 | $10.72 | $58.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $15.90 / $40.53
| Facility | | $8.38 | $15.90 | $40.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $14.67 / $21.68
| Professional | | $7.85 | $14.67 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $12.11 / $19.38
| Professional | | $10.76 | $12.11 | $19.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $12.11 / $26.40
| Professional | | $9.69 | $12.11 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $87.00 / $87.00
| Facility | | $32.40 | $87.00 | $87.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.26 / $7.26 / $7.26
| Professional | | $7.26 | $7.26 | $7.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.03 / $14.53 / $34.79
| Facility | | $10.03 | $14.53 | $34.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.11 / $24.22
| Professional | | $8.11 | $12.11 | $24.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.50 / $42.50 / $42.50
| Professional | | $42.50 | $42.50 | $42.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $12.11 / $16.95
| Professional | | $9.69 | $12.11 | $16.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.20 / $23.42
| Professional | | $5.09 | $7.20 | $23.42 |