- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $22.37 / $65.63
| Facility | | $8.00 | $22.37 | $65.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $8.00 / $14.38
| Professional | | $7.57 | $8.00 | $14.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.67 / $23.40 / $100.00
| Facility | | $7.67 | $23.40 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $8.41 / $20.49
| Professional | | $5.05 | $8.41 | $20.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $23.75 / $41.53
| Facility | | $14.92 | $23.75 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $7.91 / $10.74
| Professional | | $7.91 | $7.91 | $10.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.88 / $12.49 / $28.72
| Facility | | $5.88 | $12.49 | $28.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.28 / $14.01
| Professional | | $5.00 | $9.28 | $14.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $3,472.00 / $9,239.00
| Facility | | $23.66 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $12.13 / $14.27
| Professional | | $12.13 | $12.13 | $14.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $11.66 / $31.29
| Professional | | $8.41 | $11.66 | $31.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.93 / $100.00 / $100.00
| Facility | | $42.93 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $5.64 / $17.75
| Professional | | $4.04 | $5.64 | $17.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $5.64 / $17.75
| Professional | | $4.04 | $5.64 | $17.75 |