- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $24.55 / $60.26
| Facility | | $7.59 | $24.55 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.98 / $9.12
| Professional | | $3.16 | $3.98 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $6.31 / $100.00
| Facility | | $4.07 | $6.31 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $4.47 / $9.55
| Professional | | $2.09 | $4.47 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $10.72 / $16.98
| Facility | | $8.51 | $10.72 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $5.75 / $5.75
| Professional | | $4.47 | $5.75 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $7.24 / $17.38
| Facility | | $3.55 | $7.24 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $5.37 / $7.76
| Professional | | $3.24 | $5.37 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $34.67 / $7,079.46
| Facility | | $5.37 | $34.67 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.03 / $8.13
| Professional | | $4.79 | $6.03 | $8.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $13.80
| Professional | | $4.47 | $4.47 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $6.31 / $48.98
| Facility | | $5.37 | $6.31 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $6.31 / $100.00
| Facility | | $4.07 | $6.31 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $4.47 / $9.55
| Professional | | $2.19 | $4.47 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $5.37 / $10.23
| Facility | | $3.98 | $5.37 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $4.68 / $6.76
| Professional | | $3.98 | $4.68 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $4.47 / $7.59
| Facility | | $2.57 | $4.47 | $7.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.80 / $10.72
| Professional | | $2.09 | $3.80 | $10.72 |