- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.36 / $43.74 / $105.42
| Facility | | $12.36 | $43.74 | $105.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $7.86 / $9.92
| Professional | | $6.31 | $7.86 | $9.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.22 / $19.47 / $100.00
| Facility | | $8.22 | $19.47 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $9.02 / $21.97
| Professional | | $5.41 | $9.02 | $21.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.95 / $25.40 / $44.40
| Facility | | $15.95 | $25.40 | $44.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $8.48 / $11.29
| Professional | | $8.48 | $8.48 | $11.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $13.40 / $30.82
| Facility | | $6.30 | $13.40 | $30.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $9.97 / $15.37
| Professional | | $5.41 | $9.97 | $15.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.78 / $3,472.00 / $9,239.00
| Facility | | $34.78 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $13.07 / $15.38
| Professional | | $13.07 | $13.07 | $15.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $12.50 / $33.57
| Professional | | $9.02 | $12.50 | $33.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.54 / $11.79 / $104.33
| Facility | | $10.54 | $11.79 | $104.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.47 / $100.00 / $100.00
| Facility | | $19.47 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $6.05 / $19.04
| Professional | | $4.33 | $6.05 | $19.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $10.28 / $20.07
| Facility | | $8.75 | $10.28 | $20.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $9.28 / $11.39
| Professional | | $8.35 | $9.28 | $11.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $7.56 / $22.44
| Professional | | $4.47 | $7.56 | $22.44 |