- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.14 / $17.32 / $52.21
| Facility | | $6.14 | $17.32 | $52.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.40 / $28.66
| Professional | | $3.15 | $5.40 | $28.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.17 / $13.72 / $100.00
| Facility | | $5.17 | $13.72 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $6.14 / $14.96
| Professional | | $2.81 | $6.14 | $14.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.56 / $27.20
| Facility | | $9.77 | $15.56 | $27.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $7.26
| Professional | | $5.77 | $5.77 | $7.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.29 / $8.43 / $19.39
| Facility | | $4.29 | $8.43 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $6.28 / $9.49
| Professional | | $3.75 | $6.28 | $9.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.20 / $3,472.00 / $9,239.00
| Facility | | $21.20 | $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
- $6.14 / $8.51 / $21.10
| Professional | | $6.14 | $8.51 | $21.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $44.72 / $46.15
| Facility | | $7.48 | $44.72 | $46.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.72 / $100.00 / $100.00
| Facility | | $13.72 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.68 / $11.97
| Professional | | $2.10 | $3.68 | $11.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $7.86 / $14.36
| Facility | | $5.85 | $7.86 | $14.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.68 / $11.70
| Professional | | $2.10 | $3.68 | $11.70 |