- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.50 / $21.11 / $80.67
| Facility | | $9.50 | $21.11 | $80.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $6.22 / $7.97
| Professional | | $5.85 | $6.22 | $7.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.29 / $18.59 / $100.00
| Facility | | $6.29 | $18.59 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.49 / $7.48 / $18.22
| Professional | | $4.49 | $7.48 | $18.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $19.66 / $34.38
| Facility | | $12.35 | $19.66 | $34.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.03 / $7.03 / $8.83
| Professional | | $7.03 | $7.03 | $8.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.22 / $10.26 / $23.59
| Facility | | $5.22 | $10.26 | $23.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $7.62 / $11.75
| Professional | | $4.58 | $7.62 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.89 / $3,472.00 / $9,239.00
| Facility | | $32.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $10.73 / $12.62
| Professional | | $10.73 | $10.73 | $12.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $10.37 / $25.66
| Professional | | $7.48 | $10.37 | $25.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.52 / $17.35 / $99.22
| Facility | | $6.52 | $17.35 | $99.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.59 / $100.00 / $100.00
| Facility | | $18.59 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.62 / $14.57
| Professional | | $3.42 | $4.62 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $8.34 / $12.28
| Facility | | $7.11 | $8.34 | $12.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $5.78 / $14.57
| Professional | | $3.42 | $5.78 | $14.57 |