- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.92 / $32.89 / $86.75
| Facility | | $8.92 | $32.89 | $86.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $5.79 / $6.51
| Professional | | $5.60 | $5.79 | $6.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.94 / $11.33 / $100.00
| Facility | | $5.94 | $11.33 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.51 / $15.86
| Professional | | $3.15 | $6.51 | $15.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.31 / $18.02 / $31.50
| Facility | | $11.31 | $18.02 | $31.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $8.33 / $8.33
| Professional | | $6.44 | $8.33 | $8.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $9.68 / $22.26
| Facility | | $4.55 | $9.68 | $22.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $7.21 / $10.85
| Professional | | $3.95 | $7.21 | $10.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.75 / $45.80 / $6,679.00
| Facility | | $7.75 | $45.80 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.64 / $8.58 / $10.98
| Professional | | $6.64 | $8.58 | $10.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.02 / $25.89
| Professional | | $6.51 | $9.02 | $25.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $8.50 / $53.99
| Facility | | $7.60 | $8.50 | $53.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.33 / $100.00 / $100.00
| Facility | | $11.33 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $3.91 / $13.76
| Professional | | $3.12 | $3.91 | $13.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.51 / $7.79 / $14.47
| Facility | | $6.51 | $7.79 | $14.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.71 / $8.23
| Professional | | $6.03 | $6.71 | $8.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $3.91 / $13.76
| Professional | | $3.12 | $3.91 | $13.76 |