- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.84 / $24.68 / $45.60
| Facility | | $9.84 | $24.68 | $45.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $9.84 / $17.66
| Professional | | $9.31 | $9.84 | $17.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.41 / $18.67 / $100.00
| Facility | | $9.41 | $18.67 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.12 / $10.73 / $26.14
| Professional | | $5.12 | $10.73 | $26.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $28.67 / $50.13
| Facility | | $18.00 | $28.67 | $50.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.09 / $10.09 / $13.21
| Professional | | $10.09 | $10.09 | $13.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $15.34 / $35.26
| Facility | | $7.50 | $15.34 | $35.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $11.42 / $17.63
| Professional | | $6.45 | $11.42 | $17.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.56 / $3,472.00 / $9,239.00
| Facility | | $39.56 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.41 / $15.41 / $18.13
| Professional | | $15.41 | $15.41 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $14.87 / $38.42
| Professional | | $10.73 | $14.87 | $38.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.67 / $100.00 / $100.00
| Facility | | $18.67 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.44 / $21.80
| Professional | | $3.15 | $6.44 | $21.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $10.73 / $12.88
| Facility | | $9.66 | $10.73 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.44 / $20.45
| Professional | | $3.15 | $6.44 | $20.45 |