- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.91 / $37.24 / $98.88
| Facility | | $12.91 | $37.24 | $98.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $6.70 / $9.02
| Professional | | $6.29 | $6.70 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.86 / $19.43 / $100.00
| Facility | | $6.86 | $19.43 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $7.52 / $18.32
| Professional | | $4.20 | $7.52 | $18.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $21.29 / $37.22
| Facility | | $13.37 | $21.29 | $37.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.07 / $7.07 / $9.61
| Professional | | $7.07 | $7.07 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $11.15 / $25.66
| Facility | | $5.25 | $11.15 | $25.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $8.67 / $14.89
| Professional | | $4.58 | $8.67 | $14.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $43.08 / $6,679.00
| Facility | | $8.94 | $43.08 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.67 / $9.91 / $12.62
| Professional | | $7.67 | $9.91 | $12.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $10.42 / $29.91
| Professional | | $7.52 | $10.42 | $29.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $12.45 / $92.46
| Facility | | $8.65 | $12.45 | $92.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.43 / $100.00 / $100.00
| Facility | | $19.43 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $4.51 / $15.86
| Professional | | $3.61 | $4.51 | $15.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.27 / $8.55 / $16.73
| Facility | | $7.27 | $8.55 | $16.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $7.75 / $9.51
| Professional | | $6.63 | $7.75 | $9.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $4.51 / $15.86
| Professional | | $3.61 | $4.51 | $15.86 |