- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.58 / $6.01 / $586.08
| Facility | | $4.58 | $6.01 | $586.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.62 / $7.46
| Professional | | $4.45 | $4.62 | $7.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.19 / $6.41 / $100.00
| Facility | | $4.19 | $6.41 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.90 / $1,033.47
| Professional | | $4.45 | $4.90 | $1,033.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $4.28 / $10.38
| Facility | | $4.20 | $4.28 | $10.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.45 / $5.46
| Professional | | $4.45 | $4.45 | $5.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.75 / $4.90 / $11.05
| Facility | | $3.75 | $4.90 | $11.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $4.84 / $9.10
| Professional | | $3.64 | $4.84 | $9.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.89 / $75.00
| Professional | | $4.36 | $4.89 | $75.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $5.04 / $13.08
| Facility | | $4.36 | $5.04 | $13.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.77 / $6.60 / $11.72
| Facility | | $3.77 | $6.60 | $11.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $5.45 / $9.86
| Professional | | $4.76 | $5.45 | $9.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $5.12 / $9.11
| Facility | | $4.26 | $5.12 | $9.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.90 / $5.34
| Professional | | $4.45 | $4.90 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.45 / $5.34
| Professional | | $4.45 | $4.45 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.45 / $4.45
| Professional | | $4.28 | $4.45 | $4.45 |