- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.84 / $22.20 / $49.30
| Facility | | $5.84 | $22.20 | $49.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $4.13 / $4.94
| Professional | | $4.03 | $4.13 | $4.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.33 / $11.06 / $100.00
| Facility | | $4.33 | $11.06 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $4.75 / $11.57
| Professional | | $2.85 | $4.75 | $11.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.23 / $13.11 / $22.93
| Facility | | $8.23 | $13.11 | $22.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $6.07
| Professional | | $4.47 | $4.47 | $6.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $7.04 / $16.21
| Facility | | $3.32 | $7.04 | $16.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $5.78 / $8.14
| Professional | | $2.91 | $5.78 | $8.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $25.94 / $6,679.00
| Facility | | $5.65 | $25.94 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.26 / $8.24
| Professional | | $4.84 | $6.26 | $8.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $6.58 / $18.87
| Professional | | $4.75 | $6.58 | $18.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.58 / $6.18 / $28.49
| Facility | | $5.58 | $6.18 | $28.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $100.00 / $100.00
| Facility | | $11.06 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $4.75 / $10.02
| Professional | | $2.10 | $4.75 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $5.70 / $8.68
| Facility | | $4.75 | $5.70 | $8.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $4.84 / $6.00
| Professional | | $4.19 | $4.84 | $6.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $4.75 / $8.50
| Professional | | $2.10 | $4.75 | $8.50 |