- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.09 / $34.39 / $83.71
| Facility | | $15.09 | $34.39 | $83.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $8.44 / $9.71
| Professional | | $8.33 | $8.44 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $19.47 / $100.00
| Facility | | $8.86 | $19.47 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $9.71 / $23.65
| Professional | | $5.83 | $9.71 | $23.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.97 / $27.03 / $47.25
| Facility | | $16.97 | $27.03 | $47.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $9.13 / $12.42
| Professional | | $9.13 | $9.13 | $12.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.78 / $14.42 / $33.15
| Facility | | $6.78 | $14.42 | $33.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $10.74 / $16.27
| Professional | | $5.83 | $10.74 | $16.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.86 / $3,472.00 / $9,239.00
| Facility | | $52.86 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $16.48
| Professional | | $14.01 | $14.01 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $13.46 / $36.15
| Professional | | $9.71 | $13.46 | $36.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.16 / $12.18 / $22.43
| Facility | | $11.16 | $12.18 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.47 / $100.00 / $100.00
| Facility | | $19.47 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $6.30 / $20.49
| Professional | | $4.66 | $6.30 | $20.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.30 / $18.51
| Professional | | $4.37 | $6.30 | $18.51 |