- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.85 / $25.92 / $74.15
| Facility | | $6.85 | $25.92 | $74.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $3.58 / $5.50
| Professional | | $3.44 | $3.58 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.61 / $8.41 / $100.00
| Facility | | $3.61 | $8.41 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.95 / $9.61
| Professional | | $2.10 | $3.95 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.20 / $11.47 / $20.05
| Facility | | $7.20 | $11.47 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.91 / $5.05 / $5.05
| Professional | | $3.91 | $5.05 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.76 / $5.86 / $13.50
| Facility | | $2.76 | $5.86 | $13.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $4.54 / $6.78
| Professional | | $2.33 | $4.54 | $6.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.70 / $32.96 / $8,090.00
| Facility | | $4.70 | $32.96 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $5.20 / $6.59
| Professional | | $4.03 | $5.20 | $6.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $5.47 / $15.71
| Professional | | $3.95 | $5.47 | $15.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.65 / $5.22 / $29.16
| Facility | | $4.65 | $5.22 | $29.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $100.00 / $100.00
| Facility | | $8.41 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.37 / $8.34
| Professional | | $1.90 | $2.37 | $8.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.82 / $4.75 / $9.00
| Facility | | $3.82 | $4.75 | $9.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $4.07 / $4.99
| Professional | | $3.65 | $4.07 | $4.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.37 / $8.34
| Professional | | $1.66 | $2.37 | $8.34 |