- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $17.52 / $58.06
| Facility | | $9.19 | $17.52 | $58.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.54 / $5.75
| Professional | | $4.37 | $4.54 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.59 / $10.01 / $100.00
| Facility | | $4.59 | $10.01 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $5.75 / $14.01
| Professional | | $2.49 | $5.75 | $14.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $13.93 / $24.35
| Facility | | $8.75 | $13.93 | $24.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $5.41 / $6.44
| Professional | | $5.41 | $5.41 | $6.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $7.60 / $17.17
| Facility | | $4.01 | $7.60 | $17.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $5.56 / $8.77
| Professional | | $3.54 | $5.56 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $3,472.00 / $9,239.00
| Facility | | $13.67 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $8.40 / $9.89
| Professional | | $8.40 | $8.40 | $9.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.97 / $19.25
| Professional | | $5.75 | $7.97 | $19.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $6.09 / $10.78
| Facility | | $4.51 | $6.09 | $10.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.01 / $100.00 / $100.00
| Facility | | $10.01 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.45 / $10.61
| Professional | | $2.10 | $3.45 | $10.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.19 / $6.18 / $9.94
| Facility | | $5.19 | $6.18 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.07 / $5.58 / $6.37
| Professional | | $5.07 | $5.58 | $6.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.45 / $9.00
| Professional | | $2.10 | $3.45 | $9.00 |