- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $17.37 / $62.87
| Facility | | $8.26 | $17.37 | $62.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $5.46 / $6.63
| Professional | | $5.26 | $5.46 | $6.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $10.49 / $100.00
| Facility | | $5.50 | $10.49 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.03 / $14.69
| Professional | | $3.15 | $6.03 | $14.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $17.20 / $30.08
| Facility | | $10.80 | $17.20 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $5.67 / $7.72
| Professional | | $5.67 | $5.67 | $7.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.21 / $8.96 / $20.61
| Facility | | $4.21 | $8.96 | $20.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $6.67 / $10.40
| Professional | | $3.55 | $6.67 | $10.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.24 / $3,472.00 / $9,239.00
| Facility | | $22.24 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $10.43
| Professional | | $8.86 | $8.86 | $10.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.36 / $22.44
| Professional | | $6.03 | $8.36 | $22.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.10 / $7.86 / $44.52
| Facility | | $7.10 | $7.86 | $44.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.49 / $100.00 / $100.00
| Facility | | $10.49 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $3.62 / $12.74
| Professional | | $2.89 | $3.62 | $12.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $6.23 / $7.64
| Professional | | $5.32 | $6.23 | $7.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.99 / $4.66 / $12.74
| Professional | | $2.99 | $4.66 | $12.74 |