- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.51 / $60.30 / $90.45
| Facility | | $5.51 | $60.30 | $90.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $3.31 / $8.38
| Professional | | $3.01 | $3.31 | $8.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.89 / $9.53 / $10.09
| Facility | | $7.89 | $9.53 | $10.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $2.72 / $15.71
| Professional | | $2.72 | $2.72 | $15.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $9.94 / $10.34
| Facility | | $2.45 | $9.94 | $10.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $3.67 / $3.67
| Professional | | $3.67 | $3.67 | $3.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.91 / $11.58 / $17.77
| Facility | | $9.91 | $11.58 | $17.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $9.88 / $11.23
| Professional | | $4.13 | $9.88 | $11.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $3.26 / $4.40
| Facility | | $3.26 | $3.26 | $4.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $4.40 / $67.00
| Facility | | $3.26 | $4.40 | $67.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $3.67 / $10.75
| Professional | | $2.15 | $3.67 | $10.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $10.13 / $85.00
| Professional | | $1.84 | $10.13 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $3.26 / $4.40
| Facility | | $3.26 | $3.26 | $4.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $8.71 / $43.91
| Professional | | $4.48 | $8.71 | $43.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.34 / $7.34 / $100.00
| Facility | | $7.34 | $7.34 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.45 / $3.66
| Professional | | $1.95 | $2.45 | $3.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $6.08 / $7.82
| Professional | | $6.08 | $6.08 | $7.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $6.08 / $20.04
| Professional | | $6.08 | $6.08 | $20.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $3.19 / $10.17
| Professional | | $2.13 | $3.19 | $10.17 |