- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $36.31 / $100.00
| Facility | | $11.22 | $36.31 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.00 / $51.29
| Professional | | $7.94 | $10.00 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.88 / $77.62 / $5,011.87
| Facility | | $58.88 | $77.62 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $10.96
| Professional | | $9.33 | $9.33 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $18.62 / $41.69
| Facility | | $7.94 | $18.62 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $13.49 / $21.38
| Professional | | $7.24 | $13.49 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $8.13 / $17.38
| Professional | | $5.62 | $8.13 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $12.02
| Facility | | $12.02 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $12.30 / $20.89
| Professional | | $11.48 | $12.30 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $25.70 / $77.62
| Facility | | $16.60 | $25.70 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $10.47
| Professional | | $7.24 | $7.24 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $35.48 / $100.00
| Facility | | $10.23 | $35.48 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $48.98
| Professional | | $7.94 | $10.96 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $12.59 / $25.70
| Facility | | $6.76 | $12.59 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $12.59 / $25.70
| Professional | | $6.76 | $12.59 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $12.02 / $14.45
| Facility | | $7.94 | $12.02 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $8.13 / $19.50
| Professional | | $5.37 | $8.13 | $19.50 |