- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $15.82 / $32.09
| Facility | | $6.17 | $15.82 | $32.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.56 / $5.64 / $6.74
| Professional | | $5.56 | $5.64 | $6.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.90 / $13.64 / $80.00
| Facility | | $5.90 | $13.64 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $6.47 / $15.76
| Professional | | $3.21 | $6.47 | $15.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.31 / $18.02 / $31.50
| Facility | | $11.31 | $18.02 | $31.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $6.08 / $8.27
| Professional | | $6.08 | $6.08 | $8.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $9.76 / $22.10
| Facility | | $4.51 | $9.76 | $22.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.81 / $7.43 / $11.10
| Professional | | $3.81 | $7.43 | $11.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $3,472.00 / $9,239.00
| Facility | | $10.33 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $10.98
| Professional | | $9.33 | $9.33 | $10.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $8.97 / $24.05
| Professional | | $6.47 | $8.97 | $24.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.07 / $7.88 / $8.43
| Facility | | $6.07 | $7.88 | $8.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.64 / $80.00 / $80.00
| Facility | | $13.64 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.88 / $13.67
| Professional | | $2.10 | $3.88 | $13.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $6.67 / $8.18
| Professional | | $5.71 | $6.67 | $8.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.88 / $12.33
| Professional | | $2.59 | $3.88 | $12.33 |