- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.68 / $29.18 / $82.35
| Facility | | $6.68 | $29.18 | $82.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.82 / $7.74
| Professional | | $4.84 | $5.82 | $7.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.49 / $4.49
| Professional | | $3.88 | $4.49 | $4.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.79 / $13.22 / $100.00
| Facility | | $6.79 | $13.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $5.82 / $11.15
| Professional | | $3.19 | $5.82 | $11.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.49 / $11.73 / $18.95
| Facility | | $4.49 | $11.73 | $18.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $8.42 / $13.15
| Professional | | $4.48 | $8.42 | $13.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.60 / $6.24 / $6.86
| Professional | | $4.60 | $6.24 | $6.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.79 / $14.35
| Facility | | $6.47 | $6.79 | $14.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $9.71 / $17.79
| Facility | | $6.47 | $9.71 | $17.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $5.82 / $5.82
| Professional | | $5.82 | $5.82 | $5.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.44 / $10.68 / $17.79
| Facility | | $7.44 | $10.68 | $17.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.47 / $17.07
| Professional | | $4.84 | $6.47 | $17.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.21 / $6.15 / $6.47
| Facility | | $4.21 | $6.15 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $2.72 / $6.47
| Professional | | $2.72 | $2.72 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $2.91 / $3.35
| Professional | | $2.91 | $2.91 | $3.35 |