- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $22.91 / $63.10
| Facility | | $8.91 | $22.91 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.77 / $14.13
| Professional | | $7.08 | $9.77 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $38.02 / $64.57
| Facility | | $15.14 | $38.02 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.76 / $9.77
| Professional | | $5.01 | $6.76 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $12.30 / $12.30
| Facility | | $8.13 | $12.30 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $24.55 / $64.57
| Facility | | $11.22 | $24.55 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $7.94 / $18.62
| Professional | | $6.46 | $7.94 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $12.30 / $22.91
| Facility | | $9.12 | $12.30 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.47 / $14.45
| Professional | | $7.08 | $10.47 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $10.23 / $10.23
| Professional | | $9.12 | $10.23 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $13.18 / $34.67
| Facility | | $9.12 | $13.18 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.13 / $18.62
| Professional | | $6.31 | $8.13 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $7.41 / $12.30
| Facility | | $4.47 | $7.41 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.61 / $12.59
| Professional | | $5.13 | $6.61 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $4.79 / $12.30
| Professional | | $4.79 | $4.79 | $12.30 |