- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $20.41 / $66.92
| Facility | | $6.92 | $20.41 | $66.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $3.72 / $4.07
| Professional | | $3.20 | $3.72 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $7.43 / $100.00
| Facility | | $3.89 | $7.43 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $4.26 / $10.40
| Professional | | $2.10 | $4.26 | $10.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.71 / $12.28 / $21.48
| Facility | | $7.71 | $12.28 | $21.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $4.01 / $5.46
| Professional | | $4.01 | $4.01 | $5.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $6.34 / $14.61
| Facility | | $2.98 | $6.34 | $14.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $4.72 / $7.23
| Professional | | $2.52 | $4.72 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.29 / $3,472.00 / $9,239.00
| Facility | | $16.29 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $6.07 / $7.14
| Professional | | $6.07 | $6.07 | $7.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.92 / $15.91
| Professional | | $4.26 | $5.92 | $15.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.99 / $5.57 / $28.20
| Facility | | $4.99 | $5.57 | $28.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.43 / $100.00 / $100.00
| Facility | | $7.43 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.56 / $9.02
| Professional | | $2.04 | $2.56 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $5.11 / $7.80
| Facility | | $4.26 | $5.11 | $7.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $4.40 / $5.40
| Professional | | $3.77 | $4.40 | $5.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.56 / $8.14
| Professional | | $1.79 | $2.56 | $8.14 |