- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.21 / $14.63 / $48.30
| Facility | | $5.21 | $14.63 | $48.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $3.10 / $3.97
| Professional | | $2.98 | $3.10 | $3.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $10.57 / $100.00
| Facility | | $3.13 | $10.57 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.80 / $9.26
| Professional | | $2.10 | $3.80 | $9.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $9.82 / $17.18
| Facility | | $6.17 | $9.82 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $3.57 / $4.40
| Professional | | $3.57 | $3.57 | $4.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.65 / $5.19 / $11.74
| Facility | | $2.65 | $5.19 | $11.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.81 / $6.01
| Professional | | $2.29 | $3.81 | $6.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.50 / $3,472.00 / $9,239.00
| Facility | | $11.50 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $5.60 / $6.59
| Professional | | $5.60 | $5.60 | $6.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $5.27 / $12.80
| Professional | | $3.80 | $5.27 | $12.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.44 / $7.54 / $27.70
| Facility | | $4.44 | $7.54 | $27.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $100.00 / $100.00
| Facility | | $15.93 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.27 / $7.26
| Professional | | $1.70 | $2.27 | $7.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.52 / $4.33 / $8.67
| Facility | | $3.52 | $4.33 | $8.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $3.72 / $4.34
| Professional | | $3.35 | $3.72 | $4.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.31 / $15.07
| Professional | | $1.70 | $2.31 | $15.07 |