- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $21.59 / $62.06
| Facility | | $8.19 | $21.59 | $62.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $4.38 / $5.05
| Professional | | $4.24 | $4.38 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.43 / $8.80 / $100.00
| Facility | | $4.43 | $8.80 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $5.05 / $12.33
| Professional | | $2.41 | $5.05 | $12.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $13.93 / $24.35
| Facility | | $8.75 | $13.93 | $24.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $4.76 / $6.22
| Professional | | $4.76 | $4.76 | $6.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.54 / $7.22 / $16.63
| Facility | | $3.54 | $7.22 | $16.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.38 / $8.14
| Professional | | $3.12 | $5.38 | $8.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.29 / $3,472.00 / $9,239.00
| Facility | | $16.29 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $8.77
| Professional | | $7.47 | $7.47 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.01 / $18.09
| Professional | | $5.05 | $7.01 | $18.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.72 / $6.35 / $51.62
| Facility | | $5.72 | $6.35 | $51.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.80 / $100.00 / $100.00
| Facility | | $8.80 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.04 / $10.28
| Professional | | $2.10 | $3.04 | $10.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.91 / $5.82 / $8.31
| Facility | | $4.91 | $5.82 | $8.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $5.05 / $6.17
| Professional | | $4.46 | $5.05 | $6.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.04 / $9.64
| Professional | | $2.10 | $3.04 | $9.64 |