- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $26.78 / $74.30
| Facility | | $10.68 | $26.78 | $74.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.03 / $11.62 / $13.92
| Professional | | $8.03 | $11.62 | $13.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $8.61 / $9.96
| Professional | | $6.89 | $8.61 | $9.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.26 / $45.78 / $80.23
| Facility | | $16.26 | $45.78 | $80.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.61 / $12.77
| Professional | | $5.00 | $7.61 | $12.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $14.23 / $21.53
| Professional | | $10.76 | $14.23 | $21.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.35 / $16.07 / $16.07
| Facility | | $14.35 | $16.07 | $16.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $31.54 / $72.73
| Facility | | $10.02 | $31.54 | $72.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $10.47 / $24.07
| Professional | | $7.61 | $10.47 | $24.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $68.40 / $102.00
| Facility | | $50.00 | $68.40 | $102.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.11 / $14.35 / $17.94
| Facility | | $11.11 | $14.35 | $17.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.92 / $14.35 / $17.77
| Professional | | $12.92 | $14.35 | $17.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.19 / $14.35 / $33.35
| Facility | | $11.19 | $14.35 | $33.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $11.05 / $20.73
| Professional | | $7.61 | $11.05 | $20.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.21 / $9.61
| Professional | | $6.03 | $8.21 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $7.08 / $14.35
| Professional | | $5.60 | $7.08 | $14.35 |