- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.28 / $22.23 / $92.26
| Facility | | $12.28 | $22.23 | $92.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $12.13 / $20.88
| Professional | | $8.68 | $12.13 | $20.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $27.42 / $100.00
| Facility | | $13.71 | $27.42 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $16.55 / $36.58
| Professional | | $11.66 | $16.55 | $36.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $160.28 / $188.76 / $243.78
| Facility | | $160.28 | $188.76 | $243.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.20 / $21.03 / $21.03
| Professional | | $20.20 | $21.03 | $21.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.91 / $44.82 / $88.00
| Facility | | $10.91 | $44.82 | $88.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.03 / $62.87 / $112.19
| Professional | | $14.03 | $62.87 | $112.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $20.57 / $6,679.00
| Facility | | $12.95 | $20.57 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $12.06 / $20.51
| Professional | | $7.29 | $12.06 | $20.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $25.10 / $36.88
| Professional | | $13.23 | $25.10 | $36.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.93 / $69.95 / $148.59
| Facility | | $38.93 | $69.95 | $148.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $22.00 / $50.05
| Professional | | $12.00 | $22.00 | $50.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $100.00 / $100.00
| Facility | | $80.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.34 / $16.16 / $79.15
| Professional | | $12.34 | $16.16 | $79.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.69 / $14.26 / $17.55
| Professional | | $12.69 | $14.26 | $17.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.32 / $15.44 / $27.42
| Professional | | $12.32 | $15.44 | $27.42 |