- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $22.33 / $36.57
| Facility | | $8.19 | $22.33 | $36.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $8.19 / $14.72
| Professional | | $7.76 | $8.19 | $14.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.85 / $14.96 / $100.00
| Facility | | $7.85 | $14.96 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $8.60 / $20.95
| Professional | | $5.16 | $8.60 | $20.95 |
- 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
- $8.08 / $8.08 / $11.01
| Professional | | $8.08 | $8.08 | $11.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.01 / $12.79 / $29.41
| Facility | | $6.01 | $12.79 | $29.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.20 / $9.50 / $14.46
| Professional | | $5.20 | $9.50 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.63 / $3,472.00 / $9,239.00
| Facility | | $32.63 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.61 / $12.61 / $14.83
| Professional | | $12.61 | $12.61 | $14.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $11.92 / $32.03
| Professional | | $8.60 | $11.92 | $32.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $100.00 / $100.00
| Facility | | $14.96 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $5.77 / $18.17
| Professional | | $4.13 | $5.77 | $18.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $7.21 / $16.39
| Professional | | $3.87 | $7.21 | $16.39 |