- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $16.92 / $363.00
| Facility | | $3.58 | $16.92 | $363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $4.11 / $12.00
| Professional | | $3.58 | $4.11 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $654.00 / $664.00 / $919.00
| Facility | | $654.00 | $664.00 | $919.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $4.88 / $75.00
| Professional | | $3.72 | $4.88 | $75.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.05 / $60.05 / $60.05
| Facility | | $60.05 | $60.05 | $60.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.05 / $60.05 / $60.05
| Professional | | $60.05 | $60.05 | $60.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.86 / $80.00 / $226.00
| Facility | | $16.86 | $80.00 | $226.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $64.50 / $113.94
| Professional | | $5.76 | $64.50 | $113.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $27.00 / $332.00
| Facility | | $8.00 | $27.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $45.00 / $67.00
| Professional | | $10.05 | $45.00 | $67.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $6.17 / $8.64
| Facility | | $6.16 | $6.17 | $8.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.17 / $14.41
| Professional | | $5.13 | $6.17 | $14.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.69 / $48.69 / $48.96
| Professional | | $48.69 | $48.69 | $48.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.86 / $555.00 / $597.00
| Facility | | $16.86 | $555.00 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $22.53 / $107.04
| Professional | | $6.36 | $22.53 | $107.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.65 / $13.51
| Professional | | $5.13 | $6.65 | $13.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $6.87 / $63.20
| Facility | | $6.17 | $6.87 | $63.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.87 / $15.94
| Professional | | $5.13 | $6.87 | $15.94 |