- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.70 / $18.38 / $27.32
| Facility | | $14.70 | $18.38 | $27.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $11.64 / $48.16
| Professional | | $10.05 | $11.64 | $48.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.34 / $31.85 / $33.69
| Facility | | $26.34 | $31.85 | $33.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.05 / $6.05 / $50.69
| Professional | | $6.05 | $6.05 | $50.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $33.26 / $34.57
| Facility | | $8.36 | $33.26 | $34.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.34 / $38.96 / $59.77
| Facility | | $33.34 | $38.96 | $59.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.04 / $32.99 / $37.49
| Professional | | $14.04 | $32.99 | $37.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.91 / $10.91 / $14.70
| Facility | | $10.91 | $10.91 | $14.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.05 / $11.03 / $100.00
| Facility | | $10.05 | $11.03 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $12.25 / $33.93
| Professional | | $7.19 | $12.25 | $33.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $24.01 / $85.00
| Professional | | $6.13 | $24.01 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.91 / $10.91 / $14.70
| Facility | | $10.91 | $10.91 | $14.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.97 / $30.10 / $98.81
| Professional | | $14.97 | $30.10 | $98.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.50 / $24.50 / $100.00
| Facility | | $24.50 | $24.50 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $8.00 / $12.02
| Professional | | $6.49 | $8.00 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $12.60 / $26.09
| Professional | | $12.60 | $12.60 | $26.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $35.60 / $66.89
| Professional | | $12.60 | $35.60 | $66.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $10.08 / $33.93
| Professional | | $6.13 | $10.08 | $33.93 |