- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.48 / $25.71 / $92.36
| Facility | | $8.48 | $25.71 | $92.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $8.48 / $15.22
| Professional | | $8.02 | $8.48 | $15.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $25.33 / $100.00
| Facility | | $8.11 | $25.33 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $9.11 / $22.19
| Professional | | $5.47 | $9.11 | $22.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.43 / $24.57 / $42.95
| Facility | | $15.43 | $24.57 | $42.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.56 / $8.56 / $11.38
| Professional | | $8.56 | $8.56 | $11.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.37 / $13.18 / $30.36
| Facility | | $6.37 | $13.18 | $30.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $9.82 / $14.92
| Professional | | $5.41 | $9.82 | $14.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.39 / $3,472.00 / $9,239.00
| Facility | | $37.39 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $13.07 / $15.38
| Professional | | $13.07 | $13.07 | $15.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $12.63 / $33.10
| Professional | | $9.11 | $12.63 | $33.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.88 / $10.88 / $19.46
| Facility | | $10.88 | $10.88 | $19.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.94 / $100.00 / $100.00
| Facility | | $38.94 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $5.96 / $18.77
| Professional | | $4.37 | $5.96 | $18.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $7.35 / $17.36
| Professional | | $4.37 | $7.35 | $17.36 |