- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.39 / $26.11 / $78.38
| Facility | | $8.39 | $26.11 | $78.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $5.90 / $7.64
| Professional | | $5.67 | $5.90 | $7.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $11.50 / $100.00
| Facility | | $6.03 | $11.50 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $6.61 / $16.10
| Professional | | $3.97 | $6.61 | $16.10 |
- 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
- $6.21 / $6.21 / $8.46
| Professional | | $6.21 | $6.21 | $8.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.62 / $9.83 / $22.60
| Facility | | $4.62 | $9.83 | $22.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $7.30 / $11.30
| Professional | | $3.95 | $7.30 | $11.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.43 / $3,472.00 / $9,239.00
| Facility | | $18.43 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $10.98
| Professional | | $9.33 | $9.33 | $10.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $9.16 / $24.62
| Professional | | $6.61 | $9.16 | $24.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.67 / $8.61 / $53.66
| Facility | | $7.67 | $8.61 | $53.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.50 / $100.00 / $100.00
| Facility | | $11.50 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $4.44 / $13.95
| Professional | | $3.17 | $4.44 | $13.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $7.90 / $10.85
| Facility | | $6.61 | $7.90 | $10.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $6.82 / $8.36
| Professional | | $5.83 | $6.82 | $8.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $5.25 / $13.95
| Professional | | $3.28 | $5.25 | $13.95 |