- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $32.00 / $93.89
| Facility | | $8.86 | $32.00 | $93.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.63 / $7.38
| Professional | | $4.84 | $5.63 | $7.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.90 / $11.26 / $100.00
| Facility | | $5.90 | $11.26 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $6.47 / $15.76
| Professional | | $3.11 | $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 / $8.11
| Professional | | $6.08 | $6.08 | $8.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $9.61 / $22.10
| Facility | | $4.51 | $9.61 | $22.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $7.16 / $11.10
| Professional | | $3.95 | $7.16 | $11.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.24 / $3,472.00 / $9,239.00
| Facility | | $26.24 | $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
- $7.56 / $8.43 / $56.43
| Facility | | $7.56 | $8.43 | $56.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $100.00 / $100.00
| Facility | | $11.26 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.88 / $13.67
| Professional | | $2.10 | $3.88 | $13.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.28 / $7.74 / $14.38
| Facility | | $6.28 | $7.74 | $14.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.28 / $7.00 / $9.71
| Professional | | $6.28 | $7.00 | $9.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $5.42 / $16.07
| Professional | | $2.59 | $5.42 | $16.07 |