- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $39.01 / $63.87
| Facility | | $14.32 | $39.01 | $63.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $14.32 / $25.70
| Professional | | $13.55 | $14.32 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $29.21 / $100.00
| Facility | | $13.71 | $29.21 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $15.02 / $36.59
| Professional | | $9.01 | $15.02 | $36.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.23 / $41.77 / $73.03
| Facility | | $26.23 | $41.77 | $73.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.12 / $14.12 / $19.22
| Professional | | $14.12 | $14.12 | $19.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.50 / $22.31 / $51.32
| Facility | | $10.50 | $22.31 | $51.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.61 / $25.31
| Professional | | $8.94 | $16.61 | $25.31 |
- 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
- $21.47 / $21.47 / $25.26
| Professional | | $21.47 | $21.47 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.02 / $20.82 / $55.91
| Professional | | $15.02 | $20.82 | $55.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.21 / $100.00 / $100.00
| Facility | | $29.21 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $10.08 / $31.71
| Professional | | $7.21 | $10.08 | $31.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.52 / $15.02 / $18.02
| Facility | | $13.52 | $15.02 | $18.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $12.60 / $31.71
| Professional | | $7.21 | $12.60 | $31.71 |