- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.25 / $65.34 / $150.05
| Facility | | $25.25 | $65.34 | $150.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.75 / $12.68 / $17.96
| Professional | | $10.75 | $12.68 | $17.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.27 / $25.32 / $100.00
| Facility | | $13.27 | $25.32 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.73 / $14.55 / $35.44
| Professional | | $8.73 | $14.55 | $35.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $40.96 / $71.59
| Facility | | $25.72 | $40.96 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.68 / $13.68 / $18.61
| Professional | | $13.68 | $13.68 | $18.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.17 / $21.61 / $49.67
| Facility | | $10.17 | $21.61 | $49.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $16.09 / $24.41
| Professional | | $8.74 | $16.09 | $24.41 |
- 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
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.55 / $20.17 / $54.17
| Professional | | $14.55 | $20.17 | $54.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $19.04 / $112.74
| Facility | | $16.98 | $19.04 | $112.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.32 / $100.00 / $100.00
| Facility | | $25.32 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.98 / $9.76 / $30.72
| Professional | | $6.98 | $9.76 | $30.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.11 / $17.39 / $32.36
| Facility | | $14.11 | $17.39 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $15.01 / $18.41
| Professional | | $12.83 | $15.01 | $18.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $12.20 / $28.35
| Professional | | $7.21 | $12.20 | $28.35 |