- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $31.08 / $82.56
| Facility | | $9.19 | $31.08 | $82.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $5.97 / $6.30
| Professional | | $5.77 | $5.97 | $6.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $15.05 / $60.00
| Facility | | $6.03 | $15.05 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $6.61 / $16.10
| Professional | | $3.97 | $6.61 | $16.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $18.85 / $32.95
| Facility | | $11.84 | $18.85 | $32.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.21 / $6.21 / $8.46
| Professional | | $6.21 | $6.21 | $8.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.62 / $9.83 / $22.60
| Facility | | $4.62 | $9.83 | $22.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $7.30 / $11.30
| Professional | | $3.95 | $7.30 | $11.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.87 / $52.03 / $8,090.00
| Facility | | $7.87 | $52.03 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $8.71 / $10.98
| Professional | | $6.74 | $8.71 | $10.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $9.16 / $26.28
| Professional | | $6.61 | $9.16 | $26.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.72 / $8.61 / $71.80
| Facility | | $7.72 | $8.61 | $71.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $60.00 / $60.00
| Facility | | $15.05 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $4.20 / $13.95
| Professional | | $3.17 | $4.20 | $13.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $7.50 / $10.77
| Facility | | $6.61 | $7.50 | $10.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $6.76 / $7.50
| Professional | | $5.83 | $6.76 | $7.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $4.20 / $11.83
| Professional | | $3.28 | $4.20 | $11.83 |