- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $24.17 / $40.11
| Facility | | $7.88 | $24.17 | $40.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $7.88 / $16.53
| Professional | | $7.46 | $7.88 | $16.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $18.69 / $100.00
| Facility | | $7.94 | $18.69 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $10.74 / $25.68
| Professional | | $6.44 | $10.74 | $25.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.43 / $24.57 / $42.95
| Facility | | $15.43 | $24.57 | $42.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $10.63
| Professional | | $10.10 | $10.10 | $10.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $13.12 / $28.26
| Facility | | $7.51 | $13.12 | $28.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $9.14 / $16.53
| Professional | | $5.96 | $9.14 | $16.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.42 / $3,472.00 / $9,239.00
| Facility | | $37.42 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.41 / $15.41 / $18.13
| Professional | | $15.41 | $15.41 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $14.89 / $34.58
| Professional | | $10.74 | $14.89 | $34.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.29 / $18.29 / $18.29
| Facility | | $18.29 | $18.29 | $18.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.69 / $100.00 / $100.00
| Facility | | $18.69 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $6.44 / $17.46
| Professional | | $4.30 | $6.44 | $17.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.44 / $14.81
| Professional | | $4.51 | $6.44 | $14.81 |