- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.91 / $51.53 / $221.12
| Facility | | $16.91 | $51.53 | $221.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.52 / $15.34 / $30.28
| Professional | | $14.52 | $15.34 | $30.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.43 / $33.19 / $100.00
| Facility | | $15.43 | $33.19 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.15 / $16.91 / $41.19
| Professional | | $10.15 | $16.91 | $41.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.83 / $47.50 / $83.05
| Facility | | $29.83 | $47.50 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.90 / $15.90 / $21.63
| Professional | | $15.90 | $15.90 | $21.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $25.11 / $57.78
| Facility | | $11.81 | $25.11 | $57.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $18.69 / $28.47
| Professional | | $10.19 | $18.69 | $28.47 |
- 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
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.91 / $23.44 / $62.95
| Professional | | $16.91 | $23.44 | $62.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $22.04 / $100.73
| Facility | | $19.91 | $22.04 | $100.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.19 / $100.00 / $100.00
| Facility | | $33.19 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.34 / $35.70
| Professional | | $8.11 | $11.34 | $35.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $14.17 / $40.32
| Professional | | $8.11 | $14.17 | $40.32 |