- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $5,228.00 / $10,686.00
| Facility | | $10.81 | $5,228.00 | $10,686.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $8.25 / $13.01
| Professional | | $6.97 | $8.25 | $13.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $9.11 / $18.57
| Professional | | $7.74 | $9.11 | $18.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $2.04 / $10.14
| Facility | | $2.04 | $2.04 | $10.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $10.14 / $11.24
| Professional | | $2.04 | $10.14 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $122.45 / $162.28
| Facility | | $8.86 | $122.45 | $162.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.78 / $13.86 / $30.20
| Professional | | $7.78 | $13.86 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.06 / $10.15 / $332.00
| Facility | | $6.06 | $10.15 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.73 / $11.12 / $16.32
| Professional | | $8.73 | $11.12 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $7.25 / $7.25
| Facility | | $7.25 | $7.25 | $7.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $9.72 / $16.46
| Professional | | $6.74 | $9.72 | $16.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $162.28 / $597.00
| Facility | | $8.86 | $162.28 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $12.78 / $32.00
| Professional | | $8.27 | $12.78 | $32.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.95 / $9.33 / $19.02
| Professional | | $6.95 | $9.33 | $19.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $10.74 / $50.06
| Facility | | $10.74 | $10.74 | $50.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $10.74 / $19.84
| Professional | | $7.25 | $10.74 | $19.84 |