- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.43 / $63.42 / $210.02
| Facility | | $26.43 | $63.42 | $210.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $18.87 / $19.82
| Professional | | $13.53 | $18.87 | $19.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $37.61 / $100.00
| Facility | | $18.98 | $37.61 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.49 / $20.81 / $50.69
| Professional | | $12.49 | $20.81 | $50.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.52 / $58.16 / $101.68
| Facility | | $36.52 | $58.16 | $101.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $19.55 / $26.62
| Professional | | $19.55 | $19.55 | $26.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.54 / $30.92 / $71.13
| Facility | | $14.54 | $30.92 | $71.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.49 / $23.01 / $35.25
| Professional | | $12.49 | $23.01 | $35.25 |
- 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
- $29.87 / $29.87 / $35.14
| Professional | | $29.87 | $29.87 | $35.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.81 / $28.84 / $77.48
| Professional | | $20.81 | $28.84 | $77.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.93 / $27.12 / $119.91
| Facility | | $23.93 | $27.12 | $119.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.61 / $100.00 / $100.00
| Facility | | $37.61 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $13.95 / $43.94
| Professional | | $9.99 | $13.95 | $43.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $14.70 / $39.67
| Professional | | $8.74 | $14.70 | $39.67 |