- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $30.00 / $37.64
| Facility | | $8.44 | $30.00 | $37.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.92 / $8.44 / $10.50
| Professional | | $7.92 | $8.44 | $10.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.97 / $60.00 / $60.00
| Facility | | $20.97 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $7.23 / $21.09
| Professional | | $4.82 | $7.23 | $21.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.26 / $29.14 / $48.15
| Facility | | $19.26 | $29.14 | $48.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $11.33 / $11.93
| Professional | | $11.33 | $11.33 | $11.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.92 / $12.31 / $27.41
| Facility | | $7.92 | $12.31 | $27.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $14.87 / $22.35
| Professional | | $6.75 | $14.87 | $22.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.85 / $3,472.00 / $9,239.00
| Facility | | $39.85 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $15.91 / $34.46
| Professional | | $12.05 | $15.91 | $34.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.12 / $426.89 / $463.30
| Facility | | $15.12 | $426.89 | $463.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.97 / $60.00 / $60.00
| Facility | | $20.97 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $7.23 / $21.09
| Professional | | $4.82 | $7.23 | $21.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.23 / $15.06
| Professional | | $5.05 | $7.23 | $15.06 |