- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $16.93 / $51.45
| Facility | | $5.59 | $16.93 | $51.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.82 / $3.97 / $4.58
| Professional | | $3.82 | $3.97 | $4.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $10.18 / $100.00
| Facility | | $4.01 | $10.18 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $4.40 / $10.72
| Professional | | $2.64 | $4.40 | $10.72 |
- 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
- $4.13 / $4.13 / $5.63
| Professional | | $4.13 | $4.13 | $5.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.07 / $6.53 / $15.03
| Facility | | $3.07 | $6.53 | $15.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $4.87 / $7.23
| Professional | | $2.71 | $4.87 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.22 / $3,472.00 / $9,239.00
| Facility | | $23.22 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.53 / $6.53 / $7.68
| Professional | | $6.53 | $6.53 | $7.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $6.10 / $16.38
| Professional | | $4.40 | $6.10 | $16.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $5.52 / $9.69
| Facility | | $5.18 | $5.52 | $9.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $100.00 / $100.00
| Facility | | $10.18 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.96 / $9.28
| Professional | | $2.11 | $2.96 | $9.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $4.40 / $5.28
| Facility | | $3.96 | $4.40 | $5.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $3.15 / $13.84
| Professional | | $2.11 | $3.15 | $13.84 |