- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $61.04 / $161.13
| Facility | | $10.96 | $61.04 | $161.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $8.17 / $20.10
| Professional | | $5.41 | $8.17 | $20.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.47 / $18.64 / $293.00
| Facility | | $8.47 | $18.64 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.82 / $6.10 / $18.03
| Professional | | $3.82 | $6.10 | $18.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.02 / $60.75 / $101.72
| Facility | | $20.02 | $60.75 | $101.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $6.85 / $37.10
| Professional | | $4.80 | $6.85 | $37.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.36 / $10.14 / $25.85
| Facility | | $5.36 | $10.14 | $25.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $9.27 / $13.85
| Professional | | $5.09 | $9.27 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.28 / $7.73 / $12.37
| Professional | | $6.28 | $7.73 | $12.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $7.73 / $17.01
| Professional | | $6.18 | $7.73 | $17.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.87 / $72.31 / $100.00
| Facility | | $56.87 | $72.31 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $4.63 / $4.63
| Professional | | $4.63 | $4.63 | $4.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.42 / $9.27 / $22.11
| Facility | | $6.42 | $9.27 | $22.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.73 / $15.46
| Professional | | $5.09 | $7.73 | $15.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.13 / $27.13 / $27.13
| Professional | | $27.13 | $27.13 | $27.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $7.73 / $10.82
| Professional | | $6.18 | $7.73 | $10.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.63 / $14.97
| Professional | | $3.25 | $4.63 | $14.97 |