- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $33.29 / $68.23
| Facility | | $10.34 | $33.29 | $68.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $10.34 / $13.03
| Professional | | $10.14 | $10.34 | $13.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.70 / $25.20 / $100.00
| Facility | | $10.70 | $25.20 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $14.48 / $33.70
| Professional | | $8.69 | $14.48 | $33.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.57 / $32.76 / $57.28
| Facility | | $20.57 | $32.76 | $57.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $13.61 / $14.34
| Professional | | $13.61 | $13.61 | $14.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $17.69 / $37.09
| Facility | | $10.11 | $17.69 | $37.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $12.01 / $22.20
| Professional | | $7.95 | $12.01 | $22.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.26 / $3,472.00 / $9,239.00
| Facility | | $32.26 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.48 / $20.07 / $46.63
| Professional | | $14.48 | $20.07 | $46.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.76 / $71.76 / $89.51
| Facility | | $71.76 | $71.76 | $89.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.20 / $100.00 / $100.00
| Facility | | $25.20 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $8.69 / $22.91
| Professional | | $5.79 | $8.69 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $9.10 / $22.91
| Professional | | $6.08 | $9.10 | $22.91 |