- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.96 / $24.12 / $62.57
| Facility | | $6.96 | $24.12 | $62.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.41 / $3.54 / $5.39
| Professional | | $3.41 | $3.54 | $5.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $8.41 / $100.00
| Facility | | $3.58 | $8.41 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.93 / $9.57
| Professional | | $2.63 | $3.93 | $9.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $10.65 / $18.63
| Facility | | $6.69 | $10.65 | $18.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.91 / $4.91
| Professional | | $3.89 | $4.91 | $4.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $5.83 / $13.38
| Facility | | $2.74 | $5.83 | $13.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.54 / $6.94
| Professional | | $2.31 | $4.54 | $6.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $35.27 / $8,090.00
| Facility | | $4.68 | $35.27 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.18 / $6.59
| Professional | | $4.01 | $5.18 | $6.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $5.45 / $15.62
| Professional | | $3.93 | $5.45 | $15.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $5.12 / $39.27
| Facility | | $4.34 | $5.12 | $39.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $100.00 / $100.00
| Facility | | $8.41 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $3.93 / $8.27
| Professional | | $2.36 | $3.93 | $8.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.56 / $4.70 / $8.74
| Facility | | $3.56 | $4.70 | $8.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.01 / $4.97
| Professional | | $3.47 | $4.01 | $4.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $3.93 / $7.03
| Professional | | $2.36 | $3.93 | $7.03 |