- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.73 / $61.06 / $129.88
| Facility | | $18.73 | $61.06 | $129.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $10.17 / $15.88
| Professional | | $9.30 | $10.17 | $15.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $20.80 / $100.00
| Facility | | $9.75 | $20.80 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $11.57 / $28.18
| Professional | | $6.94 | $11.57 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $30.30 / $52.98
| Facility | | $19.03 | $30.30 | $52.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.88 / $10.88 / $13.66
| Professional | | $10.88 | $10.88 | $13.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $15.87 / $36.47
| Facility | | $8.09 | $15.87 | $36.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $11.81 / $18.07
| Professional | | $6.87 | $11.81 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.77 / $53.00 / $6,679.00
| Facility | | $13.77 | $53.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.80 / $15.24 / $19.78
| Professional | | $11.80 | $15.24 | $19.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.57 / $16.04 / $42.47
| Professional | | $11.57 | $16.04 | $42.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.58 / $20.69 / $105.30
| Facility | | $12.58 | $20.69 | $105.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.80 / $100.00 / $100.00
| Facility | | $20.80 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $7.16 / $22.55
| Professional | | $5.30 | $7.16 | $22.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.91 / $13.16 / $26.37
| Facility | | $10.91 | $13.16 | $26.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $7.35 / $22.55
| Professional | | $5.30 | $7.35 | $22.55 |