- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $100.00 / $331.13
| Facility | | $20.42 | $100.00 | $331.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $7.41 / $13.18
| Professional | | $3.31 | $7.41 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $38.90
| Facility | | $9.77 | $9.77 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $6.61
| Professional | | $3.89 | $3.89 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $54.95 / $75.86
| Professional | | $31.62 | $54.95 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $24.55 / $45.71
| Facility | | $9.33 | $24.55 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $7.08 / $11.22
| Professional | | $4.47 | $7.08 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $11.75 / $14.45
| Professional | | $9.77 | $11.75 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $21.88
| Professional | | $21.88 | $21.88 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $10.00 / $10.00
| Facility | | $4.79 | $10.00 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $20.42 / $23.99
| Professional | | $4.79 | $20.42 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $19.50 / $10,000.00
| Facility | | $6.92 | $19.50 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $19.95 / $10,000.00
| Professional | | $6.92 | $19.95 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $8.13 / $251.19
| Facility | | $3.39 | $8.13 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.89 / $15.14
| Professional | | $4.07 | $5.89 | $15.14 |