- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.43 / $17.95 / $32.72
| Facility | | $6.43 | $17.95 | $32.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $6.43 / $13.47
| Professional | | $6.08 | $6.43 | $13.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $16.82 / $100.00
| Facility | | $8.61 | $16.82 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $9.43 / $20.93
| Professional | | $3.78 | $9.43 | $20.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.36 / $26.21 / $45.83
| Facility | | $13.36 | $26.21 | $45.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $8.86 / $9.35
| Professional | | $8.63 | $8.86 | $9.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.60 / $12.22 / $23.02
| Facility | | $6.60 | $12.22 | $23.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $7.46 / $14.45
| Professional | | $4.88 | $7.46 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.78 / $3,472.00 / $9,239.00
| Facility | | $34.78 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $15.92
| Professional | | $13.53 | $13.53 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $13.08 / $33.67
| Professional | | $9.44 | $13.08 | $33.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.82 / $100.00 / $100.00
| Facility | | $16.82 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.66 / $14.24
| Professional | | $3.15 | $5.66 | $14.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $6.61 / $19.84
| Professional | | $3.78 | $6.61 | $19.84 |