- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $21.99 / $40.25
| Facility | | $8.06 | $21.99 | $40.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $8.06 / $14.58
| Professional | | $7.63 | $8.06 | $14.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.72 / $16.48 / $100.00
| Facility | | $7.72 | $16.48 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $9.47 / $23.07
| Professional | | $4.20 | $9.47 | $23.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $23.75 / $41.53
| Facility | | $14.92 | $23.75 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $8.90 / $10.82
| Professional | | $8.90 | $8.90 | $10.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.62 / $12.77 / $28.91
| Facility | | $6.62 | $12.77 | $28.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $9.36 / $14.46
| Professional | | $5.62 | $9.36 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.36 / $3,472.00 / $9,239.00
| Facility | | $38.36 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $15.92
| Professional | | $13.53 | $13.53 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $13.13 / $31.72
| Professional | | $9.47 | $13.13 | $31.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $100.00 / $100.00
| Facility | | $16.48 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $5.68 / $17.87
| Professional | | $4.20 | $5.68 | $17.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.68 / $37.54
| Professional | | $3.98 | $5.68 | $37.54 |