- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $11.81 / $17.55
| Facility | | $9.44 | $11.81 | $17.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $7.48 / $30.97
| Professional | | $6.45 | $7.48 | $30.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.92 / $20.46 / $21.64
| Facility | | $16.92 | $20.46 | $21.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $32.56
| Professional | | $3.89 | $3.89 | $32.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $21.38 / $22.23
| Facility | | $5.37 | $21.38 | $22.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.63 / $25.27 / $38.77
| Facility | | $21.63 | $25.27 | $38.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $21.20 / $24.09
| Professional | | $9.09 | $21.20 | $24.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.02 / $7.02 / $9.44
| Facility | | $7.02 | $7.02 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.45 / $7.08 / $100.00
| Facility | | $6.45 | $7.08 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $7.87 / $21.80
| Professional | | $4.72 | $7.87 | $21.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $16.24 / $85.00
| Professional | | $3.90 | $16.24 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.02 / $7.02 / $9.44
| Facility | | $7.02 | $7.02 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $19.01 / $69.19
| Professional | | $9.63 | $19.01 | $69.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.74 / $15.74 / $100.00
| Facility | | $15.74 | $15.74 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $5.23 / $7.58
| Professional | | $4.17 | $5.23 | $7.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.76 / $16.76 / $75.04
| Professional | | $16.76 | $16.76 | $75.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.39 / $42.97 / $75.04
| Professional | | $31.39 | $42.97 | $75.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $6.30 / $7.87
| Facility | | $3.94 | $6.30 | $7.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $6.48 / $19.51
| Professional | | $4.55 | $6.48 | $19.51 |