- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.82 / $11.23 / $36.10
| Facility | | $4.82 | $11.23 | $36.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.53 / $6.71
| Professional | | $3.39 | $3.53 | $6.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $6.82 / $100.00
| Facility | | $3.58 | $6.82 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.92 / $9.06
| Professional | | $2.35 | $3.92 | $9.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.28 / $10.65 / $18.63
| Facility | | $5.28 | $10.65 | $18.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $3.68 / $3.88
| Professional | | $3.68 | $3.68 | $3.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $5.72 / $13.38
| Facility | | $2.74 | $5.72 | $13.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.54 / $6.78
| Professional | | $2.31 | $4.54 | $6.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $17.05 / $6,679.00
| Facility | | $4.13 | $17.05 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $5.16 / $6.59
| Professional | | $4.00 | $5.16 | $6.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $5.43 / $15.54
| Professional | | $3.92 | $5.43 | $15.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.52 / $4.62 / $19.42
| Facility | | $3.52 | $4.62 | $19.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.82 / $100.00 / $100.00
| Facility | | $6.82 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.92 / $6.58
| Professional | | $2.10 | $3.92 | $6.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.76 / $1.96 / $2.69
| Facility | | $1.76 | $1.96 | $2.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.92 / $6.58
| Professional | | $2.10 | $3.92 | $6.58 |