- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.26 / $34.03 / $64.31
| Facility | | $7.26 | $34.03 | $64.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.54 / $4.71 / $7.28
| Professional | | $4.54 | $4.71 | $7.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.83 / $9.22 / $100.00
| Facility | | $4.83 | $9.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $5.30 / $12.91
| Professional | | $2.54 | $5.30 | $12.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $14.74 / $25.78
| Facility | | $9.26 | $14.74 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.63 / $6.63
| Professional | | $5.25 | $6.63 | $6.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.70 / $7.85 / $18.09
| Facility | | $3.70 | $7.85 | $18.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.86 / $9.03
| Professional | | $3.12 | $5.86 | $9.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $34.53 / $6,679.00
| Facility | | $6.31 | $34.53 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $6.98 / $8.77
| Professional | | $5.41 | $6.98 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $7.35 / $21.06
| Professional | | $5.30 | $7.35 | $21.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.19 / $6.91 / $50.89
| Facility | | $6.19 | $6.91 | $50.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $100.00 / $100.00
| Facility | | $9.22 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.18 / $11.16
| Professional | | $2.10 | $3.18 | $11.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.30 / $6.32 / $11.78
| Facility | | $5.30 | $6.32 | $11.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $5.46 / $6.70
| Professional | | $5.14 | $5.46 | $6.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.18 / $10.10
| Professional | | $2.10 | $3.18 | $10.10 |