- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.96 / $18.70 / $55.51
| Facility | | $7.96 | $18.70 | $55.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.82 / $6.47
| Professional | | $4.84 | $5.82 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.90 / $11.51 / $100.00
| Facility | | $5.90 | $11.51 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $6.47 / $15.76
| Professional | | $3.11 | $6.47 | $15.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.31 / $18.02 / $31.50
| Facility | | $11.31 | $18.02 | $31.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $6.08 / $8.27
| Professional | | $6.08 | $6.08 | $8.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $9.61 / $22.10
| Facility | | $4.51 | $9.61 | $22.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $7.16 / $10.85
| Professional | | $3.95 | $7.16 | $10.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.24 / $3,472.00 / $9,239.00
| Facility | | $26.24 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $10.98
| Professional | | $9.33 | $9.33 | $10.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $8.97 / $24.05
| Professional | | $6.47 | $8.97 | $24.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.82 / $8.43 / $86.40
| Facility | | $5.82 | $8.43 | $86.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $100.00 / $100.00
| Facility | | $11.51 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.88 / $13.67
| Professional | | $2.10 | $3.88 | $13.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $6.67 / $9.71
| Professional | | $5.71 | $6.67 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.91 / $3.88 / $4.44
| Facility | | $2.91 | $3.88 | $4.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.88 / $11.59
| Professional | | $2.10 | $3.88 | $11.59 |