- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.98 / $49.19 / $108.28
| Facility | | $21.98 | $49.19 | $108.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $15.40 / $56.07
| Professional | | $10.70 | $15.40 | $56.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.21 / $32.31 / $78.52
| Facility | | $12.21 | $32.31 | $78.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $16.53 / $36.07
| Professional | | $9.61 | $16.53 | $36.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.18 / $37.68 / $65.88
| Facility | | $22.18 | $37.68 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.65 / $15.54 / $16.36
| Professional | | $14.65 | $15.54 | $16.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.39 / $20.19 / $40.99
| Facility | | $11.39 | $20.19 | $40.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $17.76 / $25.30
| Professional | | $8.67 | $17.76 | $25.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.67 / $67.88 / $6,679.00
| Facility | | $19.67 | $67.88 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.86 / $21.78 / $28.00
| Professional | | $16.86 | $21.78 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.53 / $22.91 / $53.23
| Professional | | $16.53 | $22.91 | $53.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $24.80 / $97.75
| Facility | | $14.92 | $24.80 | $97.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $78.52 / $78.52
| Facility | | $32.31 | $78.52 | $78.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.03 / $16.53 / $24.18
| Professional | | $8.03 | $16.53 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $17.42 / $30.20
| Facility | | $12.64 | $17.42 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $17.61 / $125.00
| Professional | | $13.19 | $17.61 | $125.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.98 / $16.53 / $36.07
| Professional | | $8.98 | $16.53 | $36.07 |