- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $21.76 / $46.86
| Facility | | $9.00 | $21.76 | $46.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $8.56 / $10.93
| Professional | | $8.23 | $8.56 | $10.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $16.46 / $100.00
| Facility | | $8.61 | $16.46 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.54 / $9.46 / $23.04
| Professional | | $4.54 | $9.46 | $23.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.46 / $26.21 / $45.83
| Facility | | $16.46 | $26.21 | $45.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $8.89 / $12.09
| Professional | | $8.89 | $8.89 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $14.03 / $32.27
| Facility | | $6.61 | $14.03 | $32.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $10.45 / $15.82
| Professional | | $5.62 | $10.45 | $15.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.88 / $3,472.00 / $9,239.00
| Facility | | $27.88 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $15.92
| Professional | | $13.53 | $13.53 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $13.11 / $35.21
| Professional | | $9.46 | $13.11 | $35.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.50 / $11.75 / $12.36
| Facility | | $8.50 | $11.75 | $12.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.46 / $100.00 / $100.00
| Facility | | $16.46 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.68 / $19.95
| Professional | | $3.15 | $5.68 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.68 / $16.91
| Professional | | $3.15 | $5.68 | $16.91 |