- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.55 / $27.09 / $82.77
| Facility | | $13.55 | $27.09 | $82.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $8.92 / $9.42
| Professional | | $8.58 | $8.92 | $9.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $17.21 / $100.00
| Facility | | $9.01 | $17.21 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $9.89 / $24.09
| Professional | | $5.93 | $9.89 | $24.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $27.86 / $48.70
| Facility | | $17.48 | $27.86 | $48.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $9.30 / $12.64
| Professional | | $9.30 | $9.30 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.91 / $14.68 / $33.77
| Facility | | $6.91 | $14.68 | $33.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $10.93 / $16.72
| Professional | | $6.04 | $10.93 | $16.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.22 / $3,472.00 / $9,239.00
| Facility | | $23.22 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.47 / $14.47 / $17.02
| Professional | | $14.47 | $14.47 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.89 / $13.71 / $36.78
| Professional | | $9.89 | $13.71 | $36.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.64 / $12.88 / $72.73
| Facility | | $11.64 | $12.88 | $72.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.21 / $100.00 / $100.00
| Facility | | $17.21 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $6.63 / $20.87
| Professional | | $4.75 | $6.63 | $20.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $30.00
| Facility | | $30.00 | $30.00 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $8.28 / $20.87
| Professional | | $4.15 | $8.28 | $20.87 |