- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $14.34 / $51.09
| Facility | | $6.05 | $14.34 | $51.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $4.28 / $5.08
| Professional | | $4.13 | $4.28 | $5.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.33 / $10.18 / $100.00
| Facility | | $4.33 | $10.18 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $5.08 / $12.37
| Professional | | $2.36 | $5.08 | $12.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.23 / $13.11 / $22.93
| Facility | | $8.23 | $13.11 | $22.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.78 / $4.78 / $6.07
| Professional | | $4.78 | $4.78 | $6.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $7.04 / $16.21
| Facility | | $3.55 | $7.04 | $16.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.25 / $8.14
| Professional | | $3.12 | $5.25 | $8.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $3,472.00 / $9,239.00
| Facility | | $19.55 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $8.77
| Professional | | $7.47 | $7.47 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $7.04 / $17.64
| Professional | | $5.08 | $7.04 | $17.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $6.19 / $37.36
| Facility | | $4.26 | $6.19 | $37.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $100.00 / $100.00
| Facility | | $10.18 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.05 / $10.02
| Professional | | $2.10 | $3.05 | $10.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $5.08 / $6.00
| Professional | | $4.48 | $5.08 | $6.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.05 / $9.68
| Professional | | $2.10 | $3.05 | $9.68 |