- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.32 / $36.82 / $94.77
| Facility | | $16.32 | $36.82 | $94.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $15.36 / $16.17
| Professional | | $9.11 | $15.36 | $16.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $39.56 / $100.00
| Facility | | $18.05 | $39.56 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $15.48 / $32.00
| Professional | | $8.50 | $15.48 | $32.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.91 / $27.73 / $50.31
| Facility | | $11.91 | $27.73 | $50.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $22.77 / $34.57
| Professional | | $12.05 | $22.77 | $34.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.24 / $16.59 / $18.24
| Professional | | $12.24 | $16.59 | $18.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $18.05 / $51.25
| Facility | | $17.20 | $18.05 | $51.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $25.80 / $47.30
| Facility | | $17.20 | $25.80 | $47.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.48 / $15.48 / $15.48
| Professional | | $15.48 | $15.48 | $15.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.78 / $28.38 / $47.30
| Facility | | $19.78 | $28.38 | $47.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $17.20 / $46.71
| Professional | | $9.19 | $17.20 | $46.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $7.22 / $17.20
| Professional | | $7.22 | $7.22 | $17.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $7.74 / $8.91
| Professional | | $7.74 | $7.74 | $8.91 |