- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.42 / $38.79 / $85.27
| Facility | | $13.42 | $38.79 | $85.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $7.05 / $8.09
| Professional | | $5.99 | $7.05 | $8.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.38 / $14.08 / $100.00
| Facility | | $7.38 | $14.08 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $8.09 / $19.71
| Professional | | $4.20 | $8.09 | $19.71 |
- 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
- $7.60 / $7.60 / $10.36
| Professional | | $7.60 | $7.60 | $10.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $12.04 / $27.65
| Facility | | $5.65 | $12.04 | $27.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $8.94 / $13.56
| Professional | | $4.79 | $8.94 | $13.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.60 / $3,472.00 / $9,239.00
| Facility | | $36.60 | $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
- $8.09 / $11.21 / $30.12
| Professional | | $8.09 | $11.21 | $30.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $10.55 / $47.04
| Facility | | $8.94 | $10.55 | $47.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.08 / $100.00 / $100.00
| Facility | | $14.08 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.84 / $17.10
| Professional | | $3.88 | $4.84 | $17.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.82 / $9.72 / $18.45
| Facility | | $7.82 | $9.72 | $18.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $8.36 / $10.25
| Professional | | $7.13 | $8.36 | $10.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.84 / $15.42
| Professional | | $3.88 | $4.84 | $15.42 |