- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $19.27 / $38.22
| Facility | | $7.50 | $19.27 | $38.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $7.50 / $13.48
| Professional | | $7.10 | $7.50 | $13.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.18 / $15.49 / $100.00
| Facility | | $7.18 | $15.49 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $7.87 / $19.17
| Professional | | $4.72 | $7.87 | $19.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $22.12 / $38.68
| Facility | | $13.89 | $22.12 | $38.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $7.40 / $10.08
| Professional | | $7.40 | $7.40 | $10.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $11.71 / $26.92
| Facility | | $5.50 | $11.71 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $8.71 / $13.11
| Professional | | $4.79 | $8.71 | $13.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.67 / $3,472.00 / $9,239.00
| Facility | | $21.67 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.21 / $11.21 / $13.18
| Professional | | $11.21 | $11.21 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $10.91 / $29.31
| Professional | | $7.87 | $10.91 | $29.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.09 / $7.09 / $10.26
| Facility | | $7.09 | $7.09 | $10.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $100.00 / $100.00
| Facility | | $15.49 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $5.25 / $16.64
| Professional | | $3.78 | $5.25 | $16.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.54 / $4.72 / $5.41
| Facility | | $3.54 | $4.72 | $5.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $5.25 / $15.00
| Professional | | $3.78 | $5.25 | $15.00 |