- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $22.91 / $84.63
| Facility | | $8.19 | $22.91 | $84.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $8.19 / $24.76
| Professional | | $7.51 | $8.19 | $24.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.85 / $14.98 / $100.00
| Facility | | $7.85 | $14.98 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.61 / $20.97
| Professional | | $5.25 | $8.61 | $20.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $23.75 / $41.53
| Facility | | $14.92 | $23.75 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $8.09 / $11.01
| Professional | | $8.09 | $8.09 | $11.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.02 / $12.79 / $29.41
| Facility | | $6.02 | $12.79 | $29.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.20 / $9.91 / $31.02
| Professional | | $5.20 | $9.91 | $31.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.93 / $3,472.00 / $9,239.00
| Facility | | $38.93 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.61 / $12.61 / $14.83
| Professional | | $12.61 | $12.61 | $14.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $11.93 / $32.06
| Professional | | $8.61 | $11.93 | $32.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.89 / $19.89 / $19.89
| Facility | | $19.89 | $19.89 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.98 / $100.00 / $100.00
| Facility | | $14.98 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $8.61 / $18.17
| Professional | | $5.17 | $8.61 | $18.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $8.61 / $15.41
| Professional | | $5.17 | $8.61 | $15.41 |