- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.37 / $18.14 / $49.30
| Facility | | $7.37 | $18.14 | $49.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.07 / $8.96
| Professional | | $3.80 | $4.07 | $8.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $11.06 / $100.00
| Facility | | $4.30 | $11.06 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.82 / $13.43
| Professional | | $3.15 | $5.82 | $13.43 |
- 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
- $5.46 / $5.47 / $5.76
| Professional | | $5.46 | $5.47 | $5.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.05 / $7.11 / $14.61
| Facility | | $4.05 | $7.11 | $14.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $6.46 / $8.77
| Professional | | $3.07 | $6.46 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.94 / $24.37 / $6,679.00
| Facility | | $5.94 | $24.37 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.94 / $7.67 / $9.89
| Professional | | $5.94 | $7.67 | $9.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $8.07 / $18.73
| Professional | | $5.82 | $8.07 | $18.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.80 / $7.28 / $55.77
| Facility | | $6.80 | $7.28 | $55.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $100.00 / $100.00
| Facility | | $11.06 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $5.82 / $9.02
| Professional | | $2.86 | $5.82 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $6.85 / $14.77
| Facility | | $4.75 | $6.85 | $14.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $5.82 / $7.68
| Professional | | $2.86 | $5.82 | $7.68 |