- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $34.77 / $120.70
| Facility | | $11.74 | $34.77 | $120.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $11.11 / $11.88
| Professional | | $10.72 | $11.11 | $11.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.24 / $22.13 / $100.00
| Facility | | $11.24 | $22.13 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $12.32 / $30.01
| Professional | | $5.91 | $12.32 | $30.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.61 / $34.40 / $60.15
| Facility | | $21.61 | $34.40 | $60.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.58 / $11.58 / $15.76
| Professional | | $11.58 | $11.58 | $15.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $18.32 / $42.10
| Facility | | $8.61 | $18.32 | $42.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $13.62 / $20.79
| Professional | | $7.49 | $13.62 | $20.79 |
- 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
- $17.73 / $17.73 / $20.86
| Professional | | $17.73 | $17.73 | $20.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.32 / $17.07 / $45.86
| Professional | | $12.32 | $17.07 | $45.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.51 / $16.05 / $56.10
| Facility | | $14.51 | $16.05 | $56.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.13 / $100.00 / $100.00
| Facility | | $22.13 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $7.39 / $26.03
| Professional | | $4.20 | $7.39 | $26.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $7.39 / $23.48
| Professional | | $4.20 | $7.39 | $23.48 |