- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.43 / $21.63 / $43.88
| Facility | | $8.43 | $21.63 | $43.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $8.43 / $13.18
| Professional | | $7.98 | $8.43 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.03 / $13.42 / $113.00
| Facility | | $7.03 | $13.42 | $113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $7.71 / $18.78
| Professional | | $4.63 | $7.71 | $18.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $21.29 / $37.22
| Facility | | $13.37 | $21.29 | $37.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $7.25 / $11.32
| Professional | | $7.25 | $7.25 | $11.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $12.62 / $30.21
| Facility | | $5.39 | $12.62 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $9.50 / $14.92
| Professional | | $4.58 | $9.50 | $14.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.04 / $3,472.00 / $9,239.00
| Facility | | $40.04 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.21 / $11.21 / $13.18
| Professional | | $11.21 | $11.21 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $10.69 / $30.53
| Professional | | $7.71 | $10.69 | $30.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.42 / $113.00 / $113.00
| Facility | | $13.42 | $113.00 | $113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.70 / $5.93 / $18.68
| Professional | | $3.70 | $5.93 | $18.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.95 / $15.84
| Professional | | $3.47 | $5.95 | $15.84 |