- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.63 / $18.29 / $54.43
| Facility | | $7.63 | $18.29 | $54.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $3.87 / $4.73
| Professional | | $3.74 | $3.87 | $4.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.93 / $9.28 / $100.00
| Facility | | $3.93 | $9.28 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $4.73 / $11.52
| Professional | | $2.13 | $4.73 | $11.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.71 / $12.28 / $21.48
| Facility | | $7.71 | $12.28 | $21.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.45 / $5.50
| Professional | | $4.45 | $4.45 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $6.45 / $14.68
| Facility | | $3.31 | $6.45 | $14.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $4.75 / $7.23
| Professional | | $2.91 | $4.75 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $3,472.00 / $9,239.00
| Facility | | $19.55 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $7.00 / $8.24
| Professional | | $7.00 | $7.00 | $8.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $6.56 / $16.05
| Professional | | $4.73 | $6.56 | $16.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.87 / $5.62 / $45.71
| Facility | | $3.87 | $5.62 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $100.00 / $100.00
| Facility | | $9.28 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.84 / $9.08
| Professional | | $2.10 | $2.84 | $9.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $5.29 / $8.49
| Facility | | $4.38 | $5.29 | $8.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $4.65 / $5.43
| Professional | | $4.17 | $4.65 | $5.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.84 / $9.02
| Professional | | $2.10 | $2.84 | $9.02 |