- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $29.51 / $95.50
| Facility | | $7.76 | $29.51 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $35.48
| Professional | | $3.98 | $5.01 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $7.59 / $100.00
| Facility | | $4.90 | $7.59 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $5.37 / $11.22
| Professional | | $3.24 | $5.37 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $12.88 / $20.42
| Facility | | $10.23 | $12.88 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $6.92
| Professional | | $5.13 | $5.13 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $8.51 / $20.89
| Facility | | $4.17 | $8.51 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.61 / $9.12
| Professional | | $3.98 | $6.61 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $3,630.78 / $9,772.37
| Facility | | $7.76 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $9.33
| Professional | | $7.94 | $7.94 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $16.22
| Professional | | $5.37 | $5.37 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $7.41 / $58.88
| Facility | | $6.31 | $7.41 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $7.59 / $100.00
| Facility | | $4.90 | $7.59 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $5.37 / $11.22
| Professional | | $3.24 | $5.37 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.09 / $5.37 / $8.91
| Facility | | $3.09 | $5.37 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $4.47 / $12.88
| Professional | | $2.63 | $4.47 | $12.88 |