- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $16.22 / $57.54
| Facility | | $7.08 | $16.22 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $4.27 / $15.14
| Professional | | $3.98 | $4.27 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $6.76 / $100.00
| Facility | | $4.37 | $6.76 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.50 / $11.48
| Professional | | $3.16 | $5.50 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $11.48 / $18.20
| Facility | | $9.12 | $11.48 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $6.03
| Professional | | $5.25 | $5.25 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $7.59 / $18.20
| Facility | | $3.89 | $7.59 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $6.61 / $8.32
| Professional | | $3.47 | $6.61 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $3,630.78 / $9,772.37
| Facility | | $5.13 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $9.33
| Professional | | $7.94 | $7.94 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $14.45
| Professional | | $5.62 | $5.62 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $6.17 / $28.18
| Facility | | $4.27 | $6.17 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $6.76 / $100.00
| Facility | | $4.37 | $6.76 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.62 / $11.48
| Professional | | $3.16 | $5.62 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $5.13 / $8.32
| Professional | | $4.79 | $5.13 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $5.62 / $7.76
| Facility | | $2.75 | $5.62 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.98 / $11.22
| Professional | | $2.69 | $3.98 | $11.22 |