- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $31.47 / $85.08
| Facility | | $11.15 | $31.47 | $85.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.72 / $10.63 / $11.62
| Professional | | $9.72 | $10.63 | $11.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.17 / $19.39 / $100.00
| Facility | | $10.17 | $19.39 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $11.15 / $27.16
| Professional | | $6.69 | $11.15 | $27.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $31.13 / $54.43
| Facility | | $19.55 | $31.13 | $54.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.48 / $10.48 / $14.27
| Professional | | $10.48 | $10.48 | $14.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.79 / $16.57 / $38.09
| Facility | | $7.79 | $16.57 | $38.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $12.33 / $18.98
| Professional | | $6.66 | $12.33 | $18.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.00 / $3,472.00 / $9,239.00
| Facility | | $51.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.87 / $15.87 / $18.67
| Professional | | $15.87 | $15.87 | $18.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $15.45 / $41.51
| Professional | | $11.15 | $15.45 | $41.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $12.82 / $14.35
| Facility | | $10.02 | $12.82 | $14.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.39 / $100.00 / $100.00
| Facility | | $19.39 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.35 / $7.48 / $23.55
| Professional | | $5.35 | $7.48 | $23.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $6.69 / $23.55
| Professional | | $5.53 | $6.69 | $23.55 |