- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $41.95 / $75.73
| Facility | | $12.07 | $41.95 | $75.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $6.43 / $7.50
| Professional | | $5.33 | $6.43 | $7.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.57 / $12.53 / $100.00
| Facility | | $6.57 | $12.53 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $7.20 / $17.54
| Professional | | $3.46 | $7.20 | $17.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.86 / $21.67 / $35.79
| Facility | | $12.86 | $21.67 | $35.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $9.21 / $9.21
| Professional | | $7.13 | $9.21 | $9.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $10.69 / $24.63
| Facility | | $5.03 | $10.69 | $24.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $7.96 / $12.20
| Professional | | $4.37 | $7.96 | $12.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $49.05 / $8,090.00
| Facility | | $8.57 | $49.05 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $9.49 / $12.08
| Professional | | $7.34 | $9.49 | $12.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $9.98 / $28.63
| Professional | | $7.20 | $9.98 | $28.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.96 / $9.39 / $58.78
| Facility | | $7.96 | $9.39 | $58.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $100.00 / $100.00
| Facility | | $12.53 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $4.32 / $15.20
| Professional | | $2.10 | $4.32 | $15.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.96 / $8.65 / $16.42
| Facility | | $6.96 | $8.65 | $16.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.67 / $7.42 / $9.10
| Professional | | $6.67 | $7.42 | $9.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $4.32 / $13.72
| Professional | | $2.10 | $4.32 | $13.72 |