- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.27 / $12.36 / $47.52
| Facility | | $3.27 | $12.36 | $47.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.14 / $9.78
| Professional | | $2.06 | $2.14 | $9.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.16 / $4.12 / $100.00
| Facility | | $2.16 | $4.12 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.59 / $2.37 / $5.77
| Professional | | $1.59 | $2.37 | $5.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $6.55 / $11.45
| Facility | | $4.11 | $6.55 | $11.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $2.23 / $3.04
| Professional | | $2.23 | $2.23 | $3.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $3.52 / $8.11
| Facility | | $1.65 | $3.52 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.46 / $2.62 / $4.16
| Professional | | $1.46 | $2.62 | $4.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $14.99 / $8,090.00
| Facility | | $2.82 | $14.99 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.12 / $3.84
| Professional | | $2.42 | $3.12 | $3.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.28 / $9.43
| Professional | | $2.37 | $3.28 | $9.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.79 / $3.21 / $29.29
| Facility | | $2.79 | $3.21 | $29.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $100.00 / $100.00
| Facility | | $4.12 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $2.37 / $5.00
| Professional | | $1.42 | $2.37 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $2.85 / $5.41
| Facility | | $2.29 | $2.85 | $5.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $2.44 / $3.56
| Professional | | $2.19 | $2.44 | $3.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $2.37 / $4.24
| Professional | | $1.42 | $2.37 | $4.24 |