- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $32.36 / $83.18
| Facility | | $8.32 | $32.36 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $12.30
| Professional | | $6.03 | $7.94 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $35.48 / $58.88
| Facility | | $13.49 | $35.48 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.03 / $14.79
| Professional | | $5.01 | $6.03 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $14.79 / $20.42
| Facility | | $10.23 | $14.79 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $38.02 / $38.02
| Facility | | $10.96 | $38.02 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $19.95 / $50.12
| Facility | | $8.91 | $19.95 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.03 / $16.98
| Professional | | $5.25 | $6.03 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $100.00 / $100.00
| Facility | | $60.26 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $10.96 / $47.86
| Facility | | $5.50 | $10.96 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.33 / $12.02
| Professional | | $6.03 | $9.33 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.33 / $9.33
| Professional | | $8.32 | $9.33 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $10.96 / $30.90
| Facility | | $5.62 | $10.96 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.17 / $16.98
| Professional | | $5.37 | $6.17 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $10.96
| Facility | | $3.98 | $6.03 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $5.01 / $8.32
| Professional | | $4.57 | $5.01 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $10.96
| Professional | | $4.27 | $4.27 | $10.96 |