- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $29.90 / $125.08
| Facility | | $18.62 | $29.90 | $125.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $12.05 / $20.30
| Professional | | $9.39 | $12.05 | $20.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.71 / $37.54 / $100.00
| Facility | | $19.71 | $37.54 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $15.34 / $30.58
| Professional | | $7.51 | $15.34 | $30.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $27.57 / $48.46
| Facility | | $9.22 | $27.57 | $48.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $21.48 / $26.85
| Professional | | $9.86 | $21.48 | $26.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.36 / $18.11 / $19.92
| Professional | | $13.36 | $18.11 | $19.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.77 / $19.71 / $41.43
| Facility | | $18.77 | $19.71 | $41.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.77 / $28.16 / $51.62
| Facility | | $18.77 | $28.16 | $51.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $16.89 / $16.89
| Professional | | $16.89 | $16.89 | $16.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.71 / $30.80 / $51.62
| Facility | | $19.71 | $30.80 | $51.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.08 / $18.77 / $50.30
| Professional | | $14.08 | $18.77 | $50.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $7.88 / $21.02
| Professional | | $7.63 | $7.88 | $21.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $9.72
| Professional | | $8.44 | $8.44 | $9.72 |