- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $14.45 / $17.78
| Facility | | $7.08 | $14.45 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $7.08
| Professional | | $3.98 | $5.01 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $17.38 / $17.78
| Facility | | $13.80 | $17.38 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.57 / $22.91
| Professional | | $2.57 | $2.57 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $4.37 / $4.37
| Facility | | $4.37 | $4.37 | $4.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $20.89 / $33.88
| Facility | | $18.20 | $20.89 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $9.33 / $20.42
| Professional | | $7.41 | $9.33 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $12.88 / $39.81
| Facility | | $4.47 | $12.88 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $5.89 / $100.00
| Facility | | $4.47 | $5.89 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.07 / $12.02
| Professional | | $3.24 | $4.07 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $17.38 / $64.57
| Professional | | $6.46 | $17.38 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $16.60 / $63.10
| Professional | | $8.13 | $16.60 | $63.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $100.00
| Facility | | $50.12 | $50.12 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.31 / $5.01
| Professional | | $3.24 | $3.31 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $13.80
| Professional | | $5.13 | $5.13 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $19.95 / $35.48
| Professional | | $5.13 | $19.95 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $5.25 / $7.76
| Facility | | $3.72 | $5.25 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.07 / $12.59
| Professional | | $2.88 | $4.07 | $12.59 |