- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.05 / $9.01 / $29.48
| Facility | | $3.05 | $9.01 | $29.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $2.75 / $3.51
| Professional | | $2.65 | $2.75 | $3.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.78 / $5.75 / $100.00
| Facility | | $2.78 | $5.75 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $3.05 / $7.43
| Professional | | $1.83 | $3.05 | $7.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $8.19 / $14.33
| Facility | | $5.15 | $8.19 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $2.87 / $3.89
| Professional | | $2.87 | $2.87 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.13 / $4.50 / $10.40
| Facility | | $2.13 | $4.50 | $10.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $3.36 / $4.97
| Professional | | $1.87 | $3.36 | $4.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $3,472.00 / $9,239.00
| Facility | | $9.44 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.20 / $4.94
| Professional | | $4.20 | $4.20 | $4.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.05 / $4.23 / $11.36
| Professional | | $3.05 | $4.23 | $11.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $3.91 / $9.24
| Facility | | $3.47 | $3.91 | $9.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $100.00 / $100.00
| Facility | | $5.75 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $3.05 / $6.42
| Professional | | $1.05 | $3.05 | $6.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.11 / $3.73 / $5.16
| Facility | | $3.11 | $3.73 | $5.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $3.14 / $3.85
| Professional | | $2.96 | $3.14 | $3.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $3.05 / $5.44
| Professional | | $1.05 | $3.05 | $5.44 |