- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $31.06 / $57.94
| Facility | | $11.12 | $31.06 | $57.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $10.53 / $13.31
| Professional | | $10.10 | $10.53 | $13.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.65 / $30.98 / $100.00
| Facility | | $10.65 | $30.98 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $11.67 / $28.43
| Professional | | $7.00 | $11.67 | $28.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.57 / $32.76 / $57.28
| Facility | | $20.57 | $32.76 | $57.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.97 / $10.97 / $14.94
| Professional | | $10.97 | $10.97 | $14.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $17.34 / $39.88
| Facility | | $8.15 | $17.34 | $39.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.91 / $19.89
| Professional | | $7.08 | $12.91 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.49 / $3,472.00 / $9,239.00
| Facility | | $46.49 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $16.80 / $19.78
| Professional | | $16.80 | $16.80 | $19.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $16.17 / $43.45
| Professional | | $11.67 | $16.17 | $43.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.95 / $13.74 / $14.95
| Facility | | $10.95 | $13.74 | $14.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.98 / $100.00 / $100.00
| Facility | | $30.98 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $7.83 / $24.65
| Professional | | $5.60 | $7.83 | $24.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.83 / $22.24
| Professional | | $5.25 | $7.83 | $22.24 |