- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $22.91 / $41.40
| Facility | | $8.19 | $22.91 | $41.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $8.19 / $15.00
| Professional | | $7.77 | $8.19 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.85 / $16.95 / $100.00
| Facility | | $7.85 | $16.95 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.84 / $9.74 / $23.72
| Professional | | $5.84 | $9.74 | $23.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $23.75 / $41.53
| Facility | | $14.92 | $23.75 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $9.16 / $11.01
| Professional | | $9.16 | $9.16 | $11.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.80 / $12.99 / $29.41
| Facility | | $6.80 | $12.99 | $29.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $9.51 / $14.98
| Professional | | $5.83 | $9.51 | $14.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.89 / $3,472.00 / $9,239.00
| Facility | | $32.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $16.48
| Professional | | $14.01 | $14.01 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.74 / $13.50 / $32.63
| Professional | | $9.74 | $13.50 | $32.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.95 / $100.00 / $100.00
| Facility | | $16.95 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.84 / $18.17
| Professional | | $4.26 | $5.84 | $18.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.84 / $15.41
| Professional | | $4.09 | $5.84 | $15.41 |