- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $29.96 / $75.04
| Facility | | $9.30 | $29.96 | $75.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.18 / $6.56
| Professional | | $5.01 | $5.18 | $6.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $9.99 / $100.00
| Facility | | $5.24 | $9.99 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $5.74 / $13.98
| Professional | | $2.76 | $5.74 | $13.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $16.39 / $28.65
| Facility | | $10.29 | $16.39 | $28.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $7.35 / $7.35
| Professional | | $5.68 | $7.35 | $7.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $8.53 / $19.66
| Facility | | $4.01 | $8.53 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $6.61 / $9.94
| Professional | | $3.54 | $6.61 | $9.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.83 / $33.61 / $6,679.00
| Facility | | $6.83 | $33.61 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $7.56 / $9.89
| Professional | | $5.85 | $7.56 | $9.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $7.96 / $22.83
| Professional | | $5.74 | $7.96 | $22.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.70 / $7.49 / $57.31
| Facility | | $6.70 | $7.49 | $57.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.99 / $100.00 / $100.00
| Facility | | $9.99 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.44 / $12.15
| Professional | | $2.10 | $3.44 | $12.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.87 / $6.34 / $8.67
| Facility | | $5.87 | $6.34 | $8.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.92 / $7.26
| Professional | | $5.05 | $5.92 | $7.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.86 / $13.70
| Professional | | $2.10 | $3.86 | $13.70 |