- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.59 / $59.78 / $93.55
| Facility | | $13.59 | $59.78 | $93.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $8.31 / $12.64
| Professional | | $6.80 | $8.31 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $18.59 / $100.00
| Facility | | $8.86 | $18.59 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $9.71 / $23.65
| Professional | | $5.83 | $9.71 | $23.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.97 / $27.03 / $47.25
| Facility | | $16.97 | $27.03 | $47.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $9.13 / $12.15
| Professional | | $9.13 | $9.13 | $12.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.78 / $14.42 / $33.15
| Facility | | $6.78 | $14.42 | $33.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $10.74 / $16.27
| Professional | | $5.83 | $10.74 | $16.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.55 / $51.87 / $6,679.00
| Facility | | $11.55 | $51.87 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.90 / $12.79 / $16.48
| Professional | | $9.90 | $12.79 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $13.46 / $38.61
| Professional | | $9.71 | $13.46 | $38.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $12.84 / $111.04
| Facility | | $11.43 | $12.84 | $111.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.59 / $100.00 / $100.00
| Facility | | $18.59 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $6.51 / $20.49
| Professional | | $4.66 | $6.51 | $20.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $11.04 / $21.59
| Facility | | $9.42 | $11.04 | $21.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $11.01 / $16.45
| Professional | | $9.17 | $11.01 | $16.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $7.75 / $20.49
| Professional | | $4.66 | $7.75 | $20.49 |