- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $10.47 / $46.77
| Facility | | $4.90 | $10.47 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.16 / $13.18
| Professional | | $2.00 | $3.16 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $5.01 / $100.00
| Facility | | $3.24 | $5.01 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.55 / $7.59
| Professional | | $3.02 | $3.55 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $8.51 / $13.80
| Facility | | $6.92 | $8.51 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.39 / $4.57
| Professional | | $3.39 | $3.39 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $5.62 / $13.80
| Facility | | $2.82 | $5.62 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $4.57 / $5.89
| Professional | | $2.34 | $4.57 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $22.39 / $7,079.46
| Facility | | $4.27 | $22.39 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.79 / $6.46
| Professional | | $3.80 | $4.79 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $3.55 / $10.96
| Professional | | $3.55 | $3.55 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $7.76 / $18.20
| Facility | | $3.24 | $7.76 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $5.01 / $100.00
| Facility | | $3.24 | $5.01 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.55 / $7.59
| Professional | | $3.02 | $3.55 | $7.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.72 / $5.37
| Professional | | $3.16 | $3.72 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $3.55 / $5.89
| Facility | | $2.04 | $3.55 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $3.55 / $8.32
| Professional | | $2.14 | $3.55 | $8.32 |