- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $7.24 / $19.17
| Facility | | $5.08 | $7.24 | $19.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $13.30 / $23.30
| Professional | | $6.47 | $13.30 | $23.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $20.36 / $40.19
| Facility | | $8.11 | $20.36 | $40.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $16.89 / $19.87
| Professional | | $6.36 | $16.89 | $19.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.38 / $22.64 / $42.33
| Professional | | $20.38 | $22.64 | $42.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.62 / $16.95 / $16.95
| Facility | | $7.62 | $16.95 | $16.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $2,024.00 / $2,530.00
| Facility | | $11.66 | $2,024.00 | $2,530.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.83 / $20.83 / $20.83
| Professional | | $20.83 | $20.83 | $20.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.50 / $50.00 / $50.00
| Facility | | $43.50 | $50.00 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.48 / $146.43 / $194.78
| Professional | | $82.48 | $146.43 | $194.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $19.10 / $30.53
| Facility | | $8.27 | $19.10 | $30.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $26.04 / $40.75
| Professional | | $10.72 | $26.04 | $40.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.56 / $26.55 / $61.20
| Professional | | $8.56 | $26.55 | $61.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $19.17 / $30.93
| Facility | | $8.26 | $19.17 | $30.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.83 / $20.83 / $48.09
| Professional | | $20.83 | $20.83 | $48.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $23.10 / $36.34
| Professional | | $17.03 | $23.10 | $36.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.32 / $22.64 / $30.75
| Professional | | $19.32 | $22.64 | $30.75 |