- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $21.38 / $41.69
| Facility | | $8.32 | $21.38 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $30.20
| Professional | | $3.02 | $3.98 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $11.75 / $25.12
| Facility | | $2.34 | $11.75 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $3.72 / $10.47
| Professional | | $2.04 | $3.72 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $28.84 / $58.88
| Facility | | $10.00 | $28.84 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.27 / $12.59
| Professional | | $2.95 | $4.27 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $8.51 / $17.38
| Facility | | $3.31 | $8.51 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.72 / $7.76
| Professional | | $2.51 | $3.72 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.13 / $8.13
| Professional | | $4.07 | $5.13 | $8.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.13 / $11.22
| Professional | | $4.07 | $5.13 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $100.00
| Facility | | $70.79 | $70.79 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $5.13 / $5.13
| Professional | | $2.51 | $5.13 | $5.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $5.89 / $12.88
| Facility | | $3.72 | $5.89 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.89 / $10.23
| Professional | | $2.69 | $3.89 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $17.78
| Professional | | $17.78 | $17.78 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.13 / $8.71
| Professional | | $4.07 | $5.13 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $2.82 / $5.13
| Facility | | $2.29 | $2.82 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.24 / $9.12
| Professional | | $2.14 | $2.24 | $9.12 |