- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.29 / $46.20 / $123.01
| Facility | | $15.29 | $46.20 | $123.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $8.42 / $9.44
| Professional | | $8.10 | $8.42 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $25.67 / $100.00
| Facility | | $8.61 | $25.67 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $9.44 / $22.99
| Professional | | $5.66 | $9.44 | $22.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.46 / $26.21 / $45.83
| Facility | | $16.46 | $26.21 | $45.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $12.08
| Professional | | $8.86 | $8.86 | $12.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.60 / $13.99 / $32.24
| Facility | | $6.60 | $13.99 | $32.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $10.43 / $15.82
| Professional | | $5.62 | $10.43 | $15.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.71 / $3,472.00 / $9,239.00
| Facility | | $42.71 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $15.92
| Professional | | $13.53 | $13.53 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $13.08 / $35.14
| Professional | | $9.44 | $13.08 | $35.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $17.39 / $74.22
| Facility | | $10.85 | $17.39 | $74.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.67 / $100.00 / $100.00
| Facility | | $25.67 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $6.33 / $19.92
| Professional | | $4.53 | $6.33 | $19.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $11.34 / $17.23
| Facility | | $9.44 | $11.34 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.74 / $11.95
| Professional | | $8.32 | $9.74 | $11.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $7.91 / $17.98
| Professional | | $3.96 | $7.91 | $17.98 |