- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.11 / $19.89 / $55.13
| Facility | | $18.11 | $19.89 | $55.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.68 / $18.10 / $24.84
| Professional | | $11.68 | $18.10 | $24.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $31.48 / $100.00
| Facility | | $13.37 | $31.48 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $18.09 / $40.76
| Professional | | $10.85 | $18.09 | $40.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.65 / $40.96 / $71.59
| Facility | | $25.65 | $40.96 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.55 / $17.00 / $17.91
| Professional | | $16.55 | $17.00 | $17.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $22.11 / $44.24
| Facility | | $12.29 | $22.11 | $44.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $18.09 / $25.97
| Professional | | $9.39 | $18.09 | $25.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.53 / $73.27 / $6,679.00
| Facility | | $21.53 | $73.27 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.45 / $23.83 / $30.75
| Professional | | $18.45 | $23.83 | $30.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.09 / $25.07 / $58.25
| Professional | | $18.09 | $25.07 | $58.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.68 / $251.68 / $251.68
| Facility | | $251.68 | $251.68 | $251.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.48 / $100.00 / $100.00
| Facility | | $31.48 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $18.09 / $27.33
| Professional | | $8.68 | $18.09 | $27.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $16.82 / $23.87
| Professional | | $8.68 | $16.82 | $23.87 |