- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $24.38 / $75.16
| Facility | | $8.03 | $24.38 | $75.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $4.18 / $6.53
| Professional | | $4.01 | $4.18 | $6.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $8.41 / $100.00
| Facility | | $4.20 | $8.41 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $4.76 / $11.59
| Professional | | $2.27 | $4.76 | $11.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.23 / $13.11 / $22.93
| Facility | | $8.23 | $13.11 | $22.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.71 / $5.88 / $5.88
| Professional | | $4.71 | $5.88 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.33 / $6.82 / $15.72
| Facility | | $3.33 | $6.82 | $15.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $5.08 / $7.86
| Professional | | $2.91 | $5.08 | $7.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $34.11 / $6,679.00
| Facility | | $5.66 | $34.11 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.27 / $8.24
| Professional | | $4.86 | $6.27 | $8.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $6.60 / $18.29
| Professional | | $4.76 | $6.60 | $18.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $5.99 / $27.59
| Facility | | $5.08 | $5.99 | $27.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $100.00 / $100.00
| Facility | | $8.41 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.86 / $9.71
| Professional | | $2.10 | $2.86 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.61 / $5.65 / $10.59
| Facility | | $4.61 | $5.65 | $10.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.76 / $5.80
| Professional | | $4.20 | $4.76 | $5.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.86 / $18.88
| Professional | | $2.10 | $2.86 | $18.88 |