- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $10.53 / $44.46
| Facility | | $4.55 | $10.53 | $44.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $3.24 / $3.58
| Professional | | $3.12 | $3.24 | $3.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.27 / $7.08 / $100.00
| Facility | | $3.27 | $7.08 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.58 / $8.72
| Professional | | $2.40 | $3.58 | $8.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $9.82 / $17.18
| Facility | | $6.17 | $9.82 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $3.37 / $4.58
| Professional | | $3.37 | $3.37 | $4.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $5.30 / $12.24
| Facility | | $2.50 | $5.30 | $12.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $3.96 / $5.88
| Professional | | $2.11 | $3.96 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $21.27 / $6,679.00
| Facility | | $4.26 | $21.27 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $4.72 / $6.05
| Professional | | $3.65 | $4.72 | $6.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $4.96 / $14.23
| Professional | | $3.58 | $4.96 | $14.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.22 / $4.86 / $42.90
| Facility | | $3.22 | $4.86 | $42.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $100.00 / $100.00
| Facility | | $7.08 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $3.58 / $7.56
| Professional | | $2.15 | $3.58 | $7.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.68 / $4.51
| Professional | | $3.16 | $3.68 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $2.15 / $2.46
| Facility | | $1.61 | $2.15 | $2.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $3.58 / $7.56
| Professional | | $2.15 | $3.58 | $7.56 |