- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $13.40 / $57.08
| Facility | | $4.75 | $13.40 | $57.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $4.51 / $8.48
| Professional | | $3.32 | $4.51 | $8.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.33 / $13.22 / $100.00
| Facility | | $4.33 | $13.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $4.75 / $11.57
| Professional | | $2.85 | $4.75 | $11.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.23 / $13.11 / $22.93
| Facility | | $8.23 | $13.11 | $22.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $6.07
| Professional | | $4.47 | $4.47 | $6.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $7.04 / $16.21
| Facility | | $3.32 | $7.04 | $16.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $5.25 / $8.14
| Professional | | $2.91 | $5.25 | $8.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.51 / $3,472.00 / $9,239.00
| Facility | | $21.51 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $7.00 / $8.24
| Professional | | $7.00 | $7.00 | $8.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $6.58 / $17.64
| Professional | | $4.75 | $6.58 | $17.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.80 / $5.80 / $43.73
| Facility | | $5.80 | $5.80 | $43.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $100.00 / $100.00
| Facility | | $15.49 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.19 / $10.02
| Professional | | $2.27 | $3.19 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $5.84 / $8.03
| Facility | | $4.84 | $5.84 | $8.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $3.98 / $8.50
| Professional | | $2.36 | $3.98 | $8.50 |