- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.21 / $25.71 / $41.08
| Facility | | $9.21 | $25.71 | $41.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $9.21 / $16.52
| Professional | | $8.71 | $9.21 | $16.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.81 / $16.80 / $100.00
| Facility | | $8.81 | $16.80 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.66 / $23.53
| Professional | | $5.25 | $9.66 | $23.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.89 / $28.60 / $47.25
| Facility | | $18.89 | $28.60 | $47.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $9.08 / $12.36
| Professional | | $9.08 | $9.08 | $12.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.75 / $14.34 / $33.00
| Facility | | $6.75 | $14.34 | $33.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $10.68 / $16.27
| Professional | | $5.83 | $10.68 | $16.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.73 / $3,472.00 / $9,239.00
| Facility | | $48.73 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $16.48
| Professional | | $14.01 | $14.01 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $13.39 / $35.95
| Professional | | $9.66 | $13.39 | $35.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.68 / $11.37 / $11.37
| Facility | | $8.68 | $11.37 | $11.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $100.00 / $100.00
| Facility | | $16.80 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.80 / $20.39
| Professional | | $4.63 | $5.80 | $20.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.69 / $9.66 / $11.59
| Facility | | $8.69 | $9.66 | $11.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.80 / $18.41
| Professional | | $4.63 | $5.80 | $18.41 |