- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $55.88 / $98.11
| Facility | | $16.80 | $55.88 | $98.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $13.32 / $14.78
| Professional | | $9.61 | $13.32 | $14.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.48 / $27.88 / $100.00
| Facility | | $13.48 | $27.88 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $14.78 / $36.00
| Professional | | $8.86 | $14.78 | $36.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.23 / $41.77 / $73.03
| Facility | | $26.23 | $41.77 | $73.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.89 / $13.89 / $18.91
| Professional | | $13.89 | $13.89 | $18.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $21.98 / $50.52
| Facility | | $10.32 | $21.98 | $50.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.35 / $24.86
| Professional | | $8.94 | $16.35 | $24.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.52 / $3,472.00 / $9,239.00
| Facility | | $49.52 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.47 / $21.47 / $25.26
| Professional | | $21.47 | $21.47 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.78 / $20.49 / $55.04
| Professional | | $14.78 | $20.49 | $55.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $19.27 / $60.60
| Facility | | $13.30 | $19.27 | $60.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.88 / $100.00 / $100.00
| Facility | | $27.88 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $9.92 / $31.23
| Professional | | $7.09 | $9.92 | $31.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.03 / $15.25 / $18.70
| Professional | | $13.03 | $15.25 | $18.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $8.86 / $31.23
| Professional | | $7.09 | $8.86 | $31.23 |