- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $25.98 / $47.37
| Facility | | $9.30 | $25.98 | $47.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $11.44 / $13.66
| Professional | | $9.30 | $11.44 | $13.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.97 / $22.83 / $111.00
| Facility | | $11.97 | $22.83 | $111.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $13.12 / $30.29
| Professional | | $6.30 | $13.12 | $30.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $36.86 / $64.45
| Facility | | $17.89 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.33 / $12.33 / $12.99
| Professional | | $12.33 | $12.33 | $12.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.17 / $19.50 / $44.82
| Facility | | $9.17 | $19.50 | $44.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $12.11 / $22.15
| Professional | | $7.91 | $12.11 | $22.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.89 / $3,472.00 / $9,239.00
| Facility | | $32.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.14 / $19.14 / $22.51
| Professional | | $19.14 | $19.14 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.12 / $18.18 / $46.80
| Professional | | $13.12 | $18.18 | $46.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.77 / $15.45 / $15.45
| Facility | | $12.77 | $15.45 | $15.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.83 / $111.00 / $111.00
| Facility | | $22.83 | $111.00 | $111.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.87 / $22.00
| Professional | | $5.25 | $7.87 | $22.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.87 / $22.00
| Professional | | $5.25 | $7.87 | $22.00 |