- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $8.77 / $23.21
| Facility | | $3.02 | $8.77 | $23.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $2.69 / $2.77
| Professional | | $2.62 | $2.69 | $2.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.76 / $8.39 / $100.00
| Facility | | $2.76 | $8.39 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $3.02 / $7.36
| Professional | | $1.45 | $3.02 | $7.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $8.19 / $14.33
| Facility | | $5.15 | $8.19 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $2.84 / $3.71
| Professional | | $2.84 | $2.84 | $3.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.11 / $4.47 / $10.29
| Facility | | $2.11 | $4.47 | $10.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $3.21 / $4.97
| Professional | | $1.87 | $3.21 | $4.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $3,472.00 / $9,239.00
| Facility | | $9.73 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.20 / $4.94
| Professional | | $4.20 | $4.20 | $4.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.19 / $11.10
| Professional | | $3.02 | $4.19 | $11.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $3.78 / $18.48
| Facility | | $2.83 | $3.78 | $18.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $100.00 / $100.00
| Facility | | $11.51 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $1.81 / $6.12
| Professional | | $1.05 | $1.81 | $6.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $3.02 / $3.68
| Professional | | $2.66 | $3.02 | $3.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $7.50 / $7.50
| Facility | | $7.50 | $7.50 | $7.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.05 / $2.43 / $6.12
| Professional | | $1.05 | $2.43 | $6.12 |