- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.90 / $19.23 / $38.11
| Facility | | $7.90 | $19.23 | $38.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.53 / $18.20 / $27.00
| Professional | | $7.53 | $18.20 | $27.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $16.30 / $36.82
| Professional | | $10.56 | $16.30 | $36.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $11.74 / $11.74
| Facility | | $11.74 | $11.74 | $11.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $11.74 / $27.97
| Professional | | $11.74 | $11.74 | $27.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $13.13 / $14,648.00
| Facility | | $13.13 | $13.13 | $14,648.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $23.57 / $53.54
| Professional | | $9.34 | $23.57 | $53.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.80 / $19.80 / $332.00
| Facility | | $8.80 | $19.80 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.12 / $29.87 / $45.24
| Professional | | $24.12 | $29.87 | $45.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.16 / $20.16 / $20.16
| Facility | | $20.16 | $20.16 | $20.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.37 / $27.02 / $45.06
| Professional | | $17.37 | $27.02 | $45.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $43.07 / $597.00
| Facility | | $13.13 | $43.07 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $24.85 / $49.44
| Professional | | $9.71 | $24.85 | $49.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.18 / $22.25 / $44.79
| Professional | | $17.18 | $22.25 | $44.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $10.06 / $20.16
| Facility | | $10.06 | $10.06 | $20.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.37 / $26.36 / $42.87
| Professional | | $17.37 | $26.36 | $42.87 |