- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.49 / $25.92 / $73.48
| Facility | | $6.49 | $25.92 | $73.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.39 / $3.31 / $5.04
| Professional | | $2.39 | $3.31 | $5.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.35 / $8.41 / $100.00
| Facility | | $3.35 | $8.41 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.67 / $8.94
| Professional | | $2.10 | $3.67 | $8.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $10.65 / $18.63
| Facility | | $6.69 | $10.65 | $18.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.69 / $4.69
| Professional | | $3.63 | $4.69 | $4.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $5.46 / $12.54
| Facility | | $2.56 | $5.46 | $12.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $4.05 / $6.33
| Professional | | $2.29 | $4.05 | $6.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $25.89 / $8,090.00
| Facility | | $4.37 | $25.89 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $4.84 / $6.05
| Professional | | $3.74 | $4.84 | $6.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $5.09 / $14.59
| Professional | | $3.67 | $5.09 | $14.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $5.35 / $34.63
| Facility | | $4.30 | $5.35 | $34.63 |
- 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
- $1.76 / $2.20 / $7.74
| Professional | | $1.76 | $2.20 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.67 / $4.40 / $6.70
| Facility | | $3.67 | $4.40 | $6.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.77 / $4.62
| Professional | | $3.24 | $3.77 | $4.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $2.20 / $7.00
| Professional | | $1.65 | $2.20 | $7.00 |