- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.76 / $37.90 / $94.22
| Facility | | $14.76 | $37.90 | $94.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $13.51 / $14.76
| Professional | | $10.08 | $13.51 | $14.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $32.31 / $100.00
| Facility | | $14.13 | $32.31 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $15.50 / $37.75
| Professional | | $7.44 | $15.50 | $37.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.26 / $43.41 / $75.90
| Facility | | $27.26 | $43.41 | $75.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $14.57 / $19.82
| Professional | | $14.57 | $14.57 | $19.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $23.04 / $52.96
| Facility | | $10.83 | $23.04 | $52.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $17.14 / $26.21
| Professional | | $9.36 | $17.14 | $26.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.40 / $22.40 / $26.35
| Professional | | $22.40 | $22.40 | $26.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.50 / $21.48 / $57.69
| Professional | | $15.50 | $21.48 | $57.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.94 / $13.94 / $20.20
| Facility | | $13.94 | $13.94 | $20.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $100.00 / $100.00
| Facility | | $32.31 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $9.30 / $32.72
| Professional | | $6.30 | $9.30 | $32.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $9.30 / $27.76
| Professional | | $6.30 | $9.30 | $27.76 |