- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $8.51 / $24.55
| Facility | | $3.16 | $8.51 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.02 / $5.01
| Professional | | $2.00 | $3.02 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $16.60 / $27.54
| Facility | | $7.76 | $16.60 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.62 / $6.17
| Professional | | $5.01 | $5.62 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $4.57 / $5.25
| Facility | | $4.57 | $4.57 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $10.00 / $23.44
| Facility | | $4.47 | $10.00 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.24 / $7.59
| Professional | | $2.40 | $3.24 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $100.00 / $100.00
| Facility | | $70.79 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $4.79 / $8.51
| Facility | | $3.47 | $4.79 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.98 / $5.89
| Professional | | $2.00 | $3.98 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.80 / $3.80
| Professional | | $3.39 | $3.80 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $4.90 / $13.18
| Facility | | $3.63 | $4.90 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $3.31 / $7.59
| Professional | | $2.57 | $3.31 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $2.75 / $4.57
| Facility | | $1.62 | $2.75 | $4.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.69 / $3.89
| Professional | | $1.91 | $2.69 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $4.57
| Professional | | $1.78 | $1.78 | $4.57 |