- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.90 / $38.39 / $94.93
| Facility | | $8.90 | $38.39 | $94.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $4.68 / $5.98
| Professional | | $3.67 | $4.68 | $5.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $9.01 / $100.00
| Facility | | $4.72 | $9.01 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $5.18 / $12.62
| Professional | | $2.49 | $5.18 | $12.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $14.74 / $25.78
| Facility | | $9.26 | $14.74 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.62 / $6.62
| Professional | | $5.13 | $6.62 | $6.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $7.71 / $17.67
| Facility | | $3.62 | $7.71 | $17.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.72 / $8.59
| Professional | | $3.12 | $5.72 | $8.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $33.82 / $6,679.00
| Facility | | $6.16 | $33.82 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $6.82 / $8.77
| Professional | | $5.28 | $6.82 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $7.18 / $20.58
| Professional | | $5.18 | $7.18 | $20.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $6.75 / $77.15
| Facility | | $6.05 | $6.75 | $77.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $100.00 / $100.00
| Facility | | $9.01 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.11 / $10.92
| Professional | | $2.10 | $3.11 | $10.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.28 / $6.19 / $8.44
| Facility | | $5.28 | $6.19 | $8.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $5.34 / $6.55
| Professional | | $5.03 | $5.34 | $6.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.11 / $10.92
| Professional | | $2.10 | $3.11 | $10.92 |