- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.32 / $39.29 / $72.72
| Facility | | $15.32 | $39.29 | $72.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.50 / $15.32 / $27.52
| Professional | | $14.50 | $15.32 | $27.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.67 / $29.77 / $100.00
| Facility | | $14.67 | $29.77 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $17.11 / $41.68
| Professional | | $10.27 | $17.11 | $41.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.30 / $45.06 / $78.78
| Facility | | $28.30 | $45.06 | $78.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.07 / $16.07 / $20.57
| Professional | | $16.07 | $16.07 | $20.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $23.88 / $54.95
| Facility | | $11.96 | $23.88 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $17.77 / $27.12
| Professional | | $10.19 | $17.77 | $27.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.59 / $3,472.00 / $9,239.00
| Facility | | $46.59 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.74 / $24.74 / $29.10
| Professional | | $24.74 | $24.74 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.11 / $23.71 / $59.86
| Professional | | $17.11 | $23.71 | $59.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.77 / $100.00 / $100.00
| Facility | | $29.77 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $10.78 / $33.93
| Professional | | $7.97 | $10.78 | $33.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.70 / $8.56 / $11.03
| Facility | | $7.70 | $8.56 | $11.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $13.47 / $28.78
| Professional | | $7.97 | $13.47 | $28.78 |