- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $39.95 / $88.62
| Facility | | $9.36 | $39.95 | $88.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $5.84 / $6.78
| Professional | | $5.03 | $5.84 | $6.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $11.66 / $100.00
| Facility | | $6.11 | $11.66 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $6.70 / $16.32
| Professional | | $4.01 | $6.70 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $18.85 / $32.95
| Facility | | $11.84 | $18.85 | $32.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $6.30 / $8.56
| Professional | | $6.30 | $6.30 | $8.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $9.96 / $22.91
| Facility | | $4.68 | $9.96 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $7.41 / $11.30
| Professional | | $3.95 | $7.41 | $11.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.63 / $3,472.00 / $9,239.00
| Facility | | $32.63 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $9.81 / $11.54
| Professional | | $9.81 | $9.81 | $11.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $9.28 / $24.92
| Professional | | $6.70 | $9.28 | $24.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.73 / $8.77 / $62.09
| Facility | | $7.73 | $8.77 | $62.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $100.00 / $100.00
| Facility | | $11.66 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $4.49 / $14.15
| Professional | | $3.22 | $4.49 | $14.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $7.59 / $15.27
| Facility | | $6.48 | $7.59 | $15.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $6.84 / $8.46
| Professional | | $5.91 | $6.84 | $8.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $4.69 / $12.77
| Professional | | $3.22 | $4.69 | $12.77 |