- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.52 / $28.13 / $54.47
| Facility | | $5.52 | $28.13 | $54.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.52 / $7.74 / $11.60
| Professional | | $5.52 | $7.74 | $11.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.45 / $18.48 / $100.00
| Facility | | $10.45 | $18.48 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.47 / $29.53
| Professional | | $5.25 | $12.47 | $29.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $30.83 / $55.85
| Facility | | $10.64 | $30.83 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $13.29 / $14.00
| Professional | | $7.42 | $13.29 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.14 / $13.55 / $32.17
| Facility | | $8.14 | $13.55 | $32.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $8.52 / $21.69
| Professional | | $6.32 | $8.52 | $21.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.86 / $3,472.00 / $9,239.00
| Facility | | $17.86 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.14 / $18.66 / $45.53
| Professional | | $14.14 | $18.66 | $45.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.83 / $12.83 / $13.42
| Facility | | $12.83 | $12.83 | $13.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.60 / $100.00 / $100.00
| Facility | | $24.60 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $8.48 / $14.38
| Professional | | $4.87 | $8.48 | $14.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $8.48 / $14.38
| Professional | | $4.87 | $8.48 | $14.38 |