- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.08 / $41.71 / $90.28
| Facility | | $14.08 | $41.71 | $90.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $13.33 / $15.41
| Professional | | $12.88 | $13.33 | $15.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.48 / $25.72 / $100.00
| Facility | | $13.48 | $25.72 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $14.78 / $36.00
| Professional | | $8.86 | $14.78 | $36.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.23 / $41.77 / $73.03
| Facility | | $26.23 | $41.77 | $73.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.89 / $13.89 / $18.91
| Professional | | $13.89 | $13.89 | $18.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $21.98 / $50.52
| Facility | | $10.32 | $21.98 | $50.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.35 / $24.86
| Professional | | $8.94 | $16.35 | $24.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.47 / $21.47 / $25.26
| Professional | | $21.47 | $21.47 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.78 / $20.49 / $55.04
| Professional | | $14.78 | $20.49 | $55.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $17.41 / $112.55
| Facility | | $13.30 | $17.41 | $112.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $100.00 / $100.00
| Facility | | $25.72 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $9.92 / $31.23
| Professional | | $7.09 | $9.92 | $31.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $12.40 / $31.23
| Professional | | $7.09 | $12.40 | $31.23 |