- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.83 / $5.72 / $19.02
| Facility | | $3.83 | $5.72 | $19.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $3.72 / $4.00
| Professional | | $3.55 | $3.72 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.97 / $4.63 / $12.06
| Facility | | $2.97 | $4.63 | $12.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $4.78 / $7.23
| Professional | | $2.80 | $4.78 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $24.45 / $39.40
| Facility | | $4.28 | $24.45 | $39.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $2.98 / $6.01
| Professional | | $2.81 | $2.98 | $6.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.57 / $3.21
| Professional | | $2.34 | $2.57 | $3.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $4.69 / $7.04
| Facility | | $4.22 | $4.69 | $7.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.52 / $6.19
| Professional | | $1.86 | $2.52 | $6.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.92 / $2.92
| Professional | | $2.43 | $2.92 | $2.92 |