- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.48 / $35.70 / $72.30
| Facility | | $10.48 | $35.70 | $72.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $5.46 / $8.31
| Professional | | $4.46 | $5.46 | $8.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $10.51 / $100.00
| Facility | | $5.50 | $10.51 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.90 / $6.04 / $14.71
| Professional | | $2.90 | $6.04 | $14.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $17.20 / $30.08
| Facility | | $10.80 | $17.20 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $7.72 / $7.72
| Professional | | $5.98 | $7.72 | $7.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $8.96 / $20.65
| Facility | | $4.22 | $8.96 | $20.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $6.68 / $10.40
| Professional | | $3.56 | $6.68 | $10.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.18 / $3,472.00 / $9,239.00
| Facility | | $30.18 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $10.43
| Professional | | $8.86 | $8.86 | $10.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.36 / $22.48
| Professional | | $6.04 | $8.36 | $22.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $8.41 / $55.47
| Facility | | $7.11 | $8.41 | $55.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.51 / $100.00 / $100.00
| Facility | | $10.51 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.62 / $12.75
| Professional | | $2.10 | $3.62 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.86 / $7.22 / $13.43
| Facility | | $5.86 | $7.22 | $13.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $6.23 / $7.64
| Professional | | $5.33 | $6.23 | $7.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.62 / $12.75
| Professional | | $2.10 | $3.62 | $12.75 |