- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $14.63 / $41.73
| Facility | | $5.24 | $14.63 | $41.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $5.24 / $9.41
| Professional | | $4.96 | $5.24 | $9.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $9.57 / $100.00
| Facility | | $5.01 | $9.57 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $5.50 / $13.40
| Professional | | $3.30 | $5.50 | $13.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.56 / $27.20
| Facility | | $9.77 | $15.56 | $27.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $5.17 / $7.03
| Professional | | $5.17 | $5.17 | $7.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.85 / $8.17 / $18.78
| Facility | | $3.85 | $8.17 | $18.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $6.20 / $9.49
| Professional | | $3.33 | $6.20 | $9.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.29 / $3,472.00 / $9,239.00
| Facility | | $16.29 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.93 / $7.93 / $9.33
| Professional | | $7.93 | $7.93 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.62 / $20.47
| Professional | | $5.50 | $7.62 | $20.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.17 / $12.72 / $63.25
| Facility | | $12.17 | $12.72 | $63.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.57 / $100.00 / $100.00
| Facility | | $9.57 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $3.69 / $13.11
| Professional | | $2.64 | $3.69 | $13.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.48 / $3.30 / $3.78
| Facility | | $2.48 | $3.30 | $3.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $4.61 / $11.61
| Professional | | $2.64 | $4.61 | $11.61 |