- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.94 / $32.53 / $53.25
| Facility | | $11.94 | $32.53 | $53.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.30 / $11.94 / $21.44
| Professional | | $11.30 | $11.94 | $21.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.42 / $21.78 / $100.00
| Facility | | $11.42 | $21.78 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $12.52 / $30.50
| Professional | | $7.51 | $12.52 | $30.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.12 / $35.22 / $61.58
| Facility | | $22.12 | $35.22 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.77 / $11.77 / $16.03
| Professional | | $11.77 | $11.77 | $16.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $18.64 / $42.79
| Facility | | $8.75 | $18.64 | $42.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $13.86 / $21.24
| Professional | | $7.49 | $13.86 | $21.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $21.41
| Professional | | $18.20 | $18.20 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.52 / $17.35 / $46.63
| Professional | | $12.52 | $17.35 | $46.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.20 / $22.20 / $24.70
| Facility | | $19.20 | $22.20 | $24.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.78 / $100.00 / $100.00
| Facility | | $21.78 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $8.40 / $26.45
| Professional | | $6.01 | $8.40 | $26.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $15.04 / $22.86
| Facility | | $12.52 | $15.04 | $22.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $9.99 / $22.44
| Professional | | $6.01 | $9.99 | $22.44 |