- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.42 / $52.51 / $98.75
| Facility | | $14.42 | $52.51 | $98.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $8.00 / $8.90
| Professional | | $7.74 | $8.00 | $8.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $24.76 / $100.00
| Facility | | $8.11 | $24.76 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $8.90 / $21.68
| Professional | | $5.34 | $8.90 | $21.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.43 / $24.57 / $42.95
| Facility | | $15.43 | $24.57 | $42.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $11.38
| Professional | | $8.36 | $8.36 | $11.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.22 / $13.18 / $30.40
| Facility | | $6.22 | $13.18 | $30.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $9.84 / $14.92
| Professional | | $5.41 | $9.84 | $14.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.64 / $3,472.00 / $9,239.00
| Facility | | $25.64 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $13.07 / $15.38
| Professional | | $13.07 | $13.07 | $15.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $12.34 / $33.13
| Professional | | $8.90 | $12.34 | $33.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.63 / $19.30 / $88.56
| Facility | | $10.63 | $19.30 | $88.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.44 / $100.00 / $100.00
| Facility | | $27.44 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.97 / $18.78
| Professional | | $4.26 | $5.97 | $18.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.08 / $10.00 / $14.51
| Facility | | $9.08 | $10.00 | $14.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $9.17 / $11.25
| Professional | | $7.85 | $9.17 | $11.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $6.68 / $16.96
| Professional | | $4.26 | $6.68 | $16.96 |