- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $22.34 / $36.88
| Facility | | $7.25 | $22.34 | $36.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $7.25 / $15.20
| Professional | | $6.86 | $7.25 | $15.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.34 / $17.28 / $100.00
| Facility | | $7.34 | $17.28 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $9.93 / $23.62
| Professional | | $5.96 | $9.93 | $23.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $22.94 / $40.10
| Facility | | $14.40 | $22.94 | $40.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $9.83
| Professional | | $9.33 | $9.33 | $9.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.94 / $12.13 / $26.00
| Facility | | $6.94 | $12.13 | $26.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $8.42 / $14.98
| Professional | | $5.60 | $8.42 | $14.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.49 / $3,472.00 / $9,239.00
| Facility | | $34.49 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.47 / $14.47 / $17.02
| Professional | | $14.47 | $14.47 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.93 / $13.76 / $31.97
| Professional | | $9.93 | $13.76 | $31.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.28 / $100.00 / $100.00
| Facility | | $17.28 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $5.96 / $16.07
| Professional | | $3.97 | $5.96 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $5.96 / $16.07
| Professional | | $4.17 | $5.96 | $16.07 |