- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $22.39 / $147.91
| Facility | | $10.47 | $22.39 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $6.92 / $28.18
| Professional | | $4.47 | $6.92 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $10.96 / $100.00
| Facility | | $7.08 | $10.96 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $7.76 / $16.22
| Professional | | $4.68 | $7.76 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $18.62 / $29.51
| Facility | | $14.79 | $18.62 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $9.77
| Professional | | $7.24 | $7.24 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $12.30 / $29.51
| Facility | | $6.03 | $12.30 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $9.55 / $13.18
| Professional | | $5.62 | $9.55 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $3,630.78 / $9,772.37
| Facility | | $7.59 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $13.18
| Professional | | $11.22 | $11.22 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $7.76 / $23.44
| Professional | | $7.76 | $7.76 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $10.00 / $102.33
| Facility | | $7.24 | $10.00 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $10.96 / $100.00
| Facility | | $7.08 | $10.96 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $7.76 / $16.22
| Professional | | $4.68 | $7.76 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $7.76 / $12.88
| Facility | | $4.47 | $7.76 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $6.92 / $18.20
| Professional | | $3.80 | $6.92 | $18.20 |