- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.29 / $59.36 / $177.32
| Facility | | $20.29 | $59.36 | $177.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $10.87 / $21.58
| Professional | | $10.70 | $10.87 | $21.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $20.85 / $60.00
| Facility | | $10.94 | $20.85 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $11.98 / $29.18
| Professional | | $7.19 | $11.98 | $29.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $11.26 / $14.65
| Professional | | $11.26 | $11.26 | $14.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $17.84 / $40.99
| Facility | | $8.38 | $17.84 | $40.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.63 / $20.34
| Professional | | $7.29 | $13.63 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.26 / $67.88 / $6,679.00
| Facility | | $14.26 | $67.88 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $15.78 / $20.32
| Professional | | $12.22 | $15.78 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $16.60 / $47.51
| Professional | | $11.98 | $16.60 | $47.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $17.97 / $118.30
| Facility | | $14.12 | $17.97 | $118.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.85 / $60.00 / $60.00
| Facility | | $20.85 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.03 / $24.18
| Professional | | $5.75 | $8.03 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $13.18 / $19.53
| Facility | | $11.81 | $13.18 | $19.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $11.98 / $14.48
| Professional | | $10.56 | $11.98 | $14.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $9.61 / $22.83
| Professional | | $5.75 | $9.61 | $22.83 |