- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.02 / $19.14 / $31.32
| Facility | | $7.02 | $19.14 | $31.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $7.02 / $12.61
| Professional | | $6.65 | $7.02 | $12.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.72 / $18.14 / $100.00
| Facility | | $6.72 | $18.14 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $7.37 / $17.95
| Professional | | $4.42 | $7.37 | $17.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.86 / $20.48 / $35.79
| Facility | | $12.86 | $20.48 | $35.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $6.93 / $9.43
| Professional | | $6.93 | $6.93 | $9.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $10.95 / $25.16
| Facility | | $5.15 | $10.95 | $25.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $8.15 / $12.66
| Professional | | $4.37 | $8.15 | $12.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.88 / $3,472.00 / $9,239.00
| Facility | | $27.88 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $10.73 / $12.62
| Professional | | $10.73 | $10.73 | $12.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $10.21 / $27.44
| Professional | | $7.37 | $10.21 | $27.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.14 / $100.00 / $100.00
| Facility | | $18.14 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $4.94 / $15.56
| Professional | | $3.54 | $4.94 | $15.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $4.94 / $15.56
| Professional | | $3.54 | $4.94 | $15.56 |