- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.73 / $45.90 / $151.04
| Facility | | $18.73 | $45.90 | $151.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $10.29 / $12.50
| Professional | | $9.66 | $10.29 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $29.21 / $100.00
| Facility | | $9.86 | $29.21 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $10.80 / $26.31
| Professional | | $5.18 | $10.80 | $26.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $30.30 / $52.98
| Facility | | $19.03 | $30.30 | $52.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.15 / $10.15 / $13.82
| Professional | | $10.15 | $10.15 | $13.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $16.05 / $36.90
| Facility | | $7.55 | $16.05 | $36.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $11.94 / $18.07
| Professional | | $6.45 | $11.94 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.89 / $3,472.00 / $9,239.00
| Facility | | $48.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.41 / $15.41 / $18.13
| Professional | | $15.41 | $15.41 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.80 / $14.97 / $40.20
| Professional | | $10.80 | $14.97 | $40.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $14.08 / $145.40
| Facility | | $12.53 | $14.08 | $145.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.21 / $100.00 / $100.00
| Facility | | $29.21 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.48 / $22.82
| Professional | | $3.15 | $6.48 | $22.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $18.00
| Facility | | $18.00 | $18.00 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.48 / $22.82
| Professional | | $3.15 | $6.48 | $22.82 |