- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $10.97 / $16.30
| Facility | | $8.77 | $10.97 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $8.52 / $13.70
| Professional | | $5.99 | $8.52 | $13.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.72 / $19.01 / $20.10
| Facility | | $15.72 | $19.01 | $20.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $3.61 / $29.24
| Professional | | $3.61 | $3.61 | $29.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.95 / $19.84 / $20.62
| Facility | | $4.95 | $19.84 | $20.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.82 / $23.17 / $35.54
| Facility | | $19.82 | $23.17 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $19.68 / $22.36
| Professional | | $8.67 | $19.68 | $22.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.51 / $6.51 / $8.77
| Facility | | $6.51 | $6.51 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.99 / $6.58 / $100.00
| Facility | | $5.99 | $6.58 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $5.85 / $16.25
| Professional | | $2.93 | $5.85 | $16.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.66 / $10.97 / $85.00
| Professional | | $3.66 | $10.97 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.51 / $6.51 / $8.77
| Facility | | $6.51 | $6.51 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $18.22 / $25.30
| Professional | | $8.93 | $18.22 | $25.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.62 / $14.62 / $100.00
| Facility | | $14.62 | $14.62 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $4.90 / $7.06
| Professional | | $3.87 | $4.90 | $7.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.57 / $15.57 / $21.37
| Professional | | $15.57 | $15.57 | $21.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.54 / $21.37 / $39.90
| Professional | | $17.54 | $21.37 | $39.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $5.85 / $13.61
| Professional | | $3.07 | $5.85 | $13.61 |