- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.17 / $39.22 / $92.61
| Facility | | $17.17 | $39.22 | $92.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.14 / $11.45 / $14.16
| Professional | | $11.14 | $11.45 | $14.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $23.90 / $100.00
| Facility | | $11.74 | $23.90 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $12.87 / $31.35
| Professional | | $7.72 | $12.87 | $31.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.63 / $36.04 / $63.00
| Facility | | $22.63 | $36.04 | $63.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.10 / $12.10 / $16.47
| Professional | | $12.10 | $12.10 | $16.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $19.11 / $43.98
| Facility | | $9.00 | $19.11 | $43.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $14.87 / $21.69
| Professional | | $7.70 | $14.87 | $21.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $47.62 / $6,679.00
| Facility | | $13.13 | $47.62 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.13 / $16.96 / $21.97
| Professional | | $13.13 | $16.96 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.87 / $17.84 / $51.17
| Professional | | $12.87 | $17.84 | $51.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.15 / $16.78 / $79.31
| Facility | | $15.15 | $16.78 | $79.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.90 / $100.00 / $100.00
| Facility | | $23.90 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.87 / $27.18
| Professional | | $5.25 | $12.87 | $27.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.87 / $27.18
| Professional | | $5.25 | $12.87 | $27.18 |