- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.01 / $27.20 / $80.42
| Facility | | $7.01 | $27.20 | $80.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $4.63 / $6.14
| Professional | | $4.46 | $4.63 | $6.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $8.91 / $100.00
| Facility | | $4.68 | $8.91 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $5.12 / $12.47
| Professional | | $2.54 | $5.12 | $12.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $14.74 / $25.78
| Facility | | $9.26 | $14.74 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.07 / $6.41 / $6.41
| Professional | | $5.07 | $6.41 | $6.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $7.62 / $17.51
| Facility | | $3.58 | $7.62 | $17.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.66 / $8.59
| Professional | | $3.12 | $5.66 | $8.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.09 / $34.03 / $6,679.00
| Facility | | $6.09 | $34.03 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.22 / $6.75 / $8.77
| Professional | | $5.22 | $6.75 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.12 / $7.10 / $20.38
| Professional | | $5.12 | $7.10 | $20.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.91 / $6.69 / $30.87
| Facility | | $5.91 | $6.69 | $30.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $100.00 / $100.00
| Facility | | $8.91 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.07 / $10.83
| Professional | | $2.10 | $3.07 | $10.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.95 / $6.13 / $11.68
| Facility | | $4.95 | $6.13 | $11.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $5.29 / $6.49
| Professional | | $4.75 | $5.29 | $6.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.07 / $9.76
| Professional | | $2.10 | $3.07 | $9.76 |