- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $14.22 / $65.03
| Facility | | $5.85 | $14.22 | $65.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $4.54 / $17.60
| Professional | | $2.43 | $4.54 | $17.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $8.10 / $100.00
| Facility | | $3.72 | $8.10 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $5.04 / $10.52
| Professional | | $2.13 | $5.04 | $10.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $11.07 / $20.05
| Facility | | $4.69 | $11.07 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $4.74 / $4.99
| Professional | | $3.26 | $4.74 | $4.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $5.41 / $11.48
| Facility | | $3.01 | $5.41 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $4.84 / $7.75
| Professional | | $2.35 | $4.84 | $7.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $3,472.00 / $9,239.00
| Facility | | $9.14 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $8.77
| Professional | | $7.47 | $7.47 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $6.99 / $16.23
| Professional | | $5.04 | $6.99 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.34 / $3.34 / $100.80
| Facility | | $3.34 | $3.34 | $100.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $100.00 / $100.00
| Facility | | $8.77 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.57 / $6.07
| Professional | | $2.10 | $3.57 | $6.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.76 / $5.05 / $11.22
| Facility | | $2.76 | $5.05 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $4.43 / $5.68
| Professional | | $2.10 | $4.43 | $5.68 |