- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $34.09 / $98.45
| Facility | | $9.02 | $34.09 | $98.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.49 / $4.67 / $5.68
| Professional | | $4.49 | $4.67 | $5.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.71 / $8.98 / $100.00
| Facility | | $4.71 | $8.98 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $5.16 / $12.57
| Professional | | $2.48 | $5.16 | $12.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $14.74 / $25.78
| Facility | | $9.26 | $14.74 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.11 / $6.60 / $6.60
| Professional | | $5.11 | $6.60 | $6.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $7.64 / $17.63
| Facility | | $3.60 | $7.64 | $17.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.70 / $8.59
| Professional | | $3.12 | $5.70 | $8.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.14 / $29.94 / $6,679.00
| Facility | | $6.14 | $29.94 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $6.80 / $8.77
| Professional | | $5.26 | $6.80 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $7.15 / $20.51
| Professional | | $5.16 | $7.15 | $20.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.95 / $6.74 / $30.94
| Facility | | $5.95 | $6.74 | $30.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.98 / $100.00 / $100.00
| Facility | | $8.98 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.10 / $10.89
| Professional | | $2.10 | $3.10 | $10.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.99 / $6.20 / $11.76
| Facility | | $4.99 | $6.20 | $11.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $5.33 / $6.54
| Professional | | $4.55 | $5.33 | $6.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.10 / $9.84
| Professional | | $2.10 | $3.10 | $9.84 |