- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.15 / $32.53 / $65.52
| Facility | | $7.15 | $32.53 | $65.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $4.51 / $6.39
| Professional | | $4.04 | $4.51 | $6.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $10.18 / $100.00
| Facility | | $4.72 | $10.18 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.18 / $12.62
| Professional | | $3.11 | $5.18 | $12.62 |
- 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
- $4.87 / $4.87 / $6.48
| Professional | | $4.87 | $4.87 | $6.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $7.71 / $17.67
| Facility | | $3.62 | $7.71 | $17.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.78 / $8.78
| Professional | | $3.12 | $5.78 | $8.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $30.44 / $6,679.00
| Facility | | $6.16 | $30.44 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $6.82 / $8.77
| Professional | | $5.28 | $6.82 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $7.18 / $20.58
| Professional | | $5.18 | $7.18 | $20.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $7.02 / $48.62
| Facility | | $6.05 | $7.02 | $48.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $100.00 / $100.00
| Facility | | $10.18 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $3.15 / $10.92
| Professional | | $2.49 | $3.15 | $10.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $5.91 / $11.52
| Facility | | $5.03 | $5.91 | $11.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $5.34 / $6.55
| Professional | | $4.80 | $5.34 | $6.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $3.15 / $9.86
| Professional | | $2.49 | $3.15 | $9.86 |