- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $104.71 / $660.69
| Facility | | $10.96 | $104.71 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $25.12 / $97.72
| Professional | | $10.00 | $25.12 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.30 / $21.38
| Professional | | $10.23 | $12.30 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.47 / $16.60
| Professional | | $8.91 | $10.47 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $14.79
| Facility | | $14.79 | $14.79 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $14.79
| Professional | | $14.79 | $14.79 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $53,703.18
| Facility | | $18.62 | $18.62 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.45 / $37.15
| Professional | | $10.00 | $14.45 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $15.14 / $33.88
| Facility | | $7.24 | $15.14 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $18.62 / $29.51
| Professional | | $15.14 | $18.62 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $14.45 / $23.99
| Professional | | $8.91 | $14.45 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $117.49 / $389.05
| Facility | | $12.30 | $117.49 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $120.23 / $120.23 / $120.23
| Professional | | $120.23 | $120.23 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $50,118.72 / $75,857.76
| Facility | | $13.18 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $14.45 / $30.20
| Professional | | $12.59 | $14.45 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $12.30 / $24.55
| Professional | | $9.55 | $12.30 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.02 / $14.13
| Facility | | $7.41 | $12.02 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.30 / $22.39
| Professional | | $9.33 | $12.30 | $22.39 |