- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $37.84 / $101.92
| Facility | | $11.06 | $37.84 | $101.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $7.03 / $8.07
| Professional | | $5.65 | $7.03 | $8.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.36 / $14.04 / $100.00
| Facility | | $7.36 | $14.04 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $8.07 / $19.66
| Professional | | $4.84 | $8.07 | $19.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $22.94 / $40.10
| Facility | | $14.40 | $22.94 | $40.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $10.33
| Professional | | $7.59 | $7.59 | $10.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.64 / $12.00 / $27.61
| Facility | | $5.64 | $12.00 | $27.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $8.93 / $13.56
| Professional | | $4.79 | $8.93 | $13.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.57 / $3,472.00 / $9,239.00
| Facility | | $36.57 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $11.67 / $13.73
| Professional | | $11.67 | $11.67 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.07 / $11.18 / $30.05
| Professional | | $8.07 | $11.18 | $30.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $10.52 / $72.23
| Facility | | $9.32 | $10.52 | $72.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.04 / $100.00 / $100.00
| Facility | | $14.04 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.41 / $17.04
| Professional | | $3.87 | $5.41 | $17.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.83 / $9.65 / $17.96
| Facility | | $7.83 | $9.65 | $17.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $8.33 / $10.22
| Professional | | $7.83 | $8.33 | $10.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $4.04 / $5.53
| Facility | | $3.63 | $4.04 | $5.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $6.23 / $32.00
| Professional | | $4.00 | $6.23 | $32.00 |