- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $38.79 / $95.86
| Facility | | $8.36 | $38.79 | $95.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $5.24 / $6.01
| Professional | | $5.03 | $5.24 | $6.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.48 / $16.72 / $100.00
| Facility | | $5.48 | $16.72 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $6.01 / $14.64
| Professional | | $3.15 | $6.01 | $14.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $17.20 / $30.08
| Facility | | $10.80 | $17.20 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $5.65 / $7.68
| Professional | | $5.65 | $5.65 | $7.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $8.93 / $20.50
| Facility | | $4.20 | $8.93 | $20.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $6.64 / $9.94
| Professional | | $3.54 | $6.64 | $9.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.41 / $3,472.00 / $9,239.00
| Facility | | $27.41 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $10.43
| Professional | | $8.86 | $8.86 | $10.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $8.33 / $22.34
| Professional | | $6.01 | $8.33 | $22.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.02 / $7.83 / $72.09
| Facility | | $7.02 | $7.83 | $72.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.57 / $100.00 / $100.00
| Facility | | $22.57 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $3.61 / $12.68
| Professional | | $2.88 | $3.61 | $12.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $6.84 / $13.37
| Facility | | $5.83 | $6.84 | $13.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $6.20 / $7.60
| Professional | | $5.30 | $6.20 | $7.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.70 / $3.61 / $4.13
| Facility | | $2.70 | $3.61 | $4.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $3.61 / $11.46
| Professional | | $2.88 | $3.61 | $11.46 |