- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.27 / $14.62 / $70.04
| Facility | | $3.27 | $14.62 | $70.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.47 / $10.00
| Professional | | $2.27 | $3.47 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.18 / $2.18
| Professional | | $2.18 | $2.18 | $2.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.65 / $6.96 / $100.00
| Facility | | $3.65 | $6.96 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $2.94 / $5.66
| Professional | | $1.39 | $2.94 | $5.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.76 / $7.12 / $14.17
| Facility | | $1.76 | $7.12 | $14.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $4.13 / $5.16
| Professional | | $1.90 | $4.13 | $5.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $3.36 / $3.69
| Professional | | $2.48 | $3.36 | $3.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $3.60 / $7.68
| Facility | | $3.48 | $3.60 | $7.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $5.22 / $9.57
| Facility | | $3.48 | $5.22 | $9.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.13 / $3.13 / $3.13
| Professional | | $3.13 | $3.13 | $3.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $5.71 / $9.57
| Facility | | $4.00 | $5.71 | $9.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.48 / $8.98
| Professional | | $2.61 | $3.48 | $8.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.93 / $1.93 / $1.93
| Facility | | $1.93 | $1.93 | $1.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $4.08
| Professional | | $2.09 | $2.09 | $4.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $1.80 / $1.80
| Professional | | $1.80 | $1.80 | $1.80 |