- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.78 / $26.02 / $68.26
| Facility | | $8.78 | $26.02 | $68.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $8.33 / $9.61
| Professional | | $8.23 | $8.33 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $19.47 / $100.00
| Facility | | $8.42 | $19.47 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.43 / $9.22 / $22.46
| Professional | | $4.43 | $9.22 | $22.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.46 / $26.21 / $45.83
| Facility | | $16.46 | $26.21 | $45.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $8.67 / $11.80
| Professional | | $8.67 | $8.67 | $11.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.45 / $13.71 / $31.51
| Facility | | $6.45 | $13.71 | $31.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $10.19 / $15.82
| Professional | | $5.62 | $10.19 | $15.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.27 / $3,472.00 / $9,239.00
| Facility | | $42.27 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $15.92
| Professional | | $13.53 | $13.53 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $12.78 / $34.34
| Professional | | $9.22 | $12.78 | $34.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.28 / $10.70 / $53.74
| Facility | | $8.28 | $10.70 | $53.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.47 / $100.00 / $100.00
| Facility | | $19.47 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $5.53 / $19.47
| Professional | | $4.20 | $5.53 | $19.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $5.53 / $19.47
| Professional | | $4.20 | $5.53 | $19.47 |