- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.12 / $28.53 / $26,862.36
| Facility | | $17.12 | $28.53 | $26,862.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.02 / $17.70 / $5,943.00
| Professional | | $17.02 | $17.70 | $5,943.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.43 / $23.93 / $85.00
| Facility | | $15.43 | $23.93 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.02 / $18.72 / $4,929.21
| Professional | | $17.02 | $18.72 | $4,929.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.05 / $16.19 / $39.26
| Facility | | $16.05 | $16.19 | $39.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.02 / $17.02 / $20.87
| Professional | | $17.02 | $17.02 | $20.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.38 / $17.50 / $38.58
| Facility | | $12.38 | $17.50 | $38.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.89 / $17.02 / $33.36
| Professional | | $11.89 | $17.02 | $33.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $18.57 / $30.00
| Professional | | $16.89 | $18.57 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $19.26 / $35.40
| Facility | | $16.89 | $19.26 | $35.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.56 / $23.60 / $43.20
| Facility | | $13.56 | $23.60 | $43.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.11 / $20.61 / $37.26
| Professional | | $17.11 | $20.61 | $37.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.95 / $19.14 / $31.90
| Facility | | $15.95 | $19.14 | $31.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.02 / $18.72 / $20.42
| Professional | | $17.02 | $18.72 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.02 / $17.02 / $20.42
| Professional | | $17.02 | $17.02 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.19 / $17.02 / $17.02
| Professional | | $16.19 | $17.02 | $17.02 |