- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.01 / $61.00 / $698.66
| Facility | | $26.01 | $61.00 | $698.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.87 / $13.35 / $320.39
| Professional | | $12.87 | $13.35 | $320.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $26.08 / $100.00
| Facility | | $13.67 | $26.08 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $14.99 / $36.51
| Professional | | $8.99 | $14.99 | $36.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.23 / $41.77 / $73.03
| Facility | | $26.23 | $41.77 | $73.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.09 / $14.09 / $19.18
| Professional | | $14.09 | $14.09 | $19.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.48 / $22.29 / $51.24
| Facility | | $10.48 | $22.29 | $51.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.57 / $25.31
| Professional | | $8.94 | $16.57 | $25.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.83 / $3,472.00 / $9,239.00
| Facility | | $45.83 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.47 / $21.47 / $25.26
| Professional | | $21.47 | $21.47 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.99 / $20.78 / $55.78
| Professional | | $14.99 | $20.78 | $55.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $22.51 / $600.50
| Facility | | $17.64 | $22.51 | $600.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.08 / $100.00 / $100.00
| Facility | | $26.08 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $10.06 / $31.65
| Professional | | $7.20 | $10.06 | $31.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.29 / $17.01 / $24.43
| Facility | | $15.29 | $17.01 | $24.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $15.32 / $18.96
| Professional | | $13.22 | $15.32 | $18.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $12.57 / $28.57
| Professional | | $7.20 | $12.57 | $28.57 |