- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $22.39 / $85.11
| Facility | | $8.71 | $22.39 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $56.23
| Professional | | $6.03 | $7.94 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $12.02 / $100.00
| Facility | | $7.76 | $12.02 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.71 / $18.20
| Professional | | $5.25 | $8.71 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $20.89 / $33.11
| Facility | | $16.60 | $20.89 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $10.96
| Professional | | $8.13 | $8.13 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $13.80 / $33.11
| Facility | | $6.76 | $13.80 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $10.23 / $31.62
| Professional | | $6.31 | $10.23 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $3,630.78 / $9,772.37
| Facility | | $12.30 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $14.79
| Professional | | $12.59 | $12.59 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $26.30
| Professional | | $8.71 | $8.71 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $19.95
| Facility | | $19.95 | $19.95 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $12.02 / $100.00
| Facility | | $7.76 | $12.02 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.71 / $18.20
| Professional | | $5.25 | $8.71 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $8.71 / $14.45
| Facility | | $4.90 | $8.71 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $8.71 / $20.42
| Professional | | $5.13 | $8.71 | $20.42 |