- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.21 / $36.01 / $58.95
| Facility | | $13.21 | $36.01 | $58.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.51 / $13.21 / $23.73
| Professional | | $12.51 | $13.21 | $23.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.66 / $24.13 / $100.00
| Facility | | $12.66 | $24.13 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $13.87 / $33.78
| Professional | | $6.66 | $13.87 | $33.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.70 / $39.33 / $68.75
| Facility | | $24.70 | $39.33 | $68.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.04 / $13.04 / $17.73
| Professional | | $13.04 | $13.04 | $17.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $20.56 / $47.38
| Facility | | $9.69 | $20.56 | $47.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $15.33 / $23.50
| Professional | | $8.33 | $15.33 | $23.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $20.07 / $23.62
| Professional | | $20.07 | $20.07 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.87 / $19.22 / $51.62
| Professional | | $13.87 | $19.22 | $51.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.13 / $100.00 / $100.00
| Facility | | $24.13 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $8.32 / $29.27
| Professional | | $6.30 | $8.32 | $29.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $8.32 / $29.27
| Professional | | $6.30 | $8.32 | $29.27 |