- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $16.87 / $41.11
| Facility | | $8.19 | $16.87 | $41.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $7.65 / $10.43
| Professional | | $4.32 | $7.65 | $10.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $9.64 / $25.06
| Facility | | $9.64 | $9.64 | $25.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $4.91 / $15.74
| Professional | | $2.94 | $4.91 | $15.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.78 / $9.64 / $9.64
| Facility | | $5.78 | $9.64 | $9.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $9.64 / $9.64
| Professional | | $7.04 | $9.64 | $9.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.73 / $19.79 / $62.53
| Facility | | $6.73 | $19.79 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $11.15 / $53.26
| Professional | | $6.51 | $11.15 | $53.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $13.33 / $332.00
| Facility | | $6.50 | $13.33 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $5.78 / $17.64
| Professional | | $3.86 | $5.78 | $17.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.16 / $11.26
| Professional | | $6.92 | $9.16 | $11.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $23.84 / $113.88
| Facility | | $11.85 | $23.84 | $113.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.99 / $18.48
| Professional | | $5.41 | $7.99 | $18.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $5.78 / $13.98
| Professional | | $4.72 | $5.78 | $13.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $11.09 / $31.24
| Facility | | $11.09 | $11.09 | $31.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.00 / $11.59
| Professional | | $6.92 | $10.00 | $11.59 |