- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.97 / $19.46 / $56.83
| Facility | | $6.97 | $19.46 | $56.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $6.97 / $12.50
| Professional | | $6.59 | $6.97 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.67 / $12.72 / $100.00
| Facility | | $6.67 | $12.72 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $7.31 / $17.80
| Professional | | $4.38 | $7.31 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.86 / $20.48 / $35.79
| Facility | | $12.86 | $20.48 | $35.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $6.87 / $9.35
| Professional | | $6.87 | $6.87 | $9.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $10.87 / $24.97
| Facility | | $5.11 | $10.87 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $8.08 / $12.20
| Professional | | $4.37 | $8.08 | $12.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.08 / $3,472.00 / $9,239.00
| Facility | | $33.08 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $10.73 / $12.62
| Professional | | $10.73 | $10.73 | $12.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.31 / $10.13 / $27.20
| Professional | | $7.31 | $10.13 | $27.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104.14 / $104.14 / $104.14
| Facility | | $104.14 | $104.14 | $104.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.72 / $100.00 / $100.00
| Facility | | $12.72 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $4.90 / $15.44
| Professional | | $3.51 | $4.90 | $15.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $6.13 / $13.09
| Professional | | $3.51 | $6.13 | $13.09 |