- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $36.72 / $95.23
| Facility | | $9.46 | $36.72 | $95.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.92 / $5.00 / $10.00
| Professional | | $4.92 | $5.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $15.58 / $100.00
| Facility | | $5.01 | $15.58 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $5.60 / $13.64
| Professional | | $3.36 | $5.60 | $13.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.56 / $27.20
| Facility | | $9.77 | $15.56 | $27.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $5.26 / $7.04
| Professional | | $5.26 | $5.26 | $7.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $8.17 / $18.80
| Facility | | $3.92 | $8.17 | $18.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $6.09 / $9.49
| Professional | | $3.33 | $6.09 | $9.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.95 / $3,472.00 / $9,239.00
| Facility | | $24.95 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.93 / $7.93 / $9.33
| Professional | | $7.93 | $7.93 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $7.76 / $20.50
| Professional | | $5.60 | $7.76 | $20.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.38 / $7.20 / $52.25
| Facility | | $6.38 | $7.20 | $52.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.50 / $100.00 / $100.00
| Facility | | $38.50 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.70 / $11.63
| Professional | | $2.69 | $3.70 | $11.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.63 / $6.58 / $9.03
| Facility | | $5.63 | $6.58 | $9.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $4.20 / $22.21
| Professional | | $2.35 | $4.20 | $22.21 |