- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.88 / $52.16 / $161.16
| Facility | | $15.88 | $52.16 | $161.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $8.52 / $10.42
| Professional | | $8.26 | $8.52 | $10.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.64 / $16.48 / $100.00
| Facility | | $8.64 | $16.48 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $9.47 / $23.07
| Professional | | $5.68 | $9.47 | $23.07 |
- 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
- $8.90 / $8.90 / $12.11
| Professional | | $8.90 | $8.90 | $12.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.62 / $14.05 / $32.35
| Facility | | $6.62 | $14.05 | $32.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $10.46 / $15.82
| Professional | | $5.62 | $10.46 | $15.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.14 / $3,472.00 / $9,239.00
| Facility | | $33.14 | $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
- $9.47 / $13.13 / $35.24
| Professional | | $9.47 | $13.13 | $35.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $12.51 / $63.68
| Facility | | $11.15 | $12.51 | $63.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $100.00 / $100.00
| Facility | | $16.48 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $6.35 / $19.97
| Professional | | $4.55 | $6.35 | $19.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $11.36 / $22.20
| Facility | | $8.77 | $11.36 | $22.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $9.76 / $11.97
| Professional | | $8.35 | $9.76 | $11.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $5.68 / $18.05
| Professional | | $4.55 | $5.68 | $18.05 |