- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.32 / $17.64 / $39.78
| Facility | | $6.32 | $17.64 | $39.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $6.32 / $13.24
| Professional | | $5.98 | $6.32 | $13.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $21.13 / $101.00
| Facility | | $6.92 | $21.13 | $101.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.56 / $9.35 / $20.59
| Professional | | $5.56 | $9.35 | $20.59 |
- 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
- $8.49 / $8.80 / $9.27
| Professional | | $8.49 | $8.80 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $11.43 / $22.68
| Facility | | $6.30 | $11.43 | $22.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $7.34 / $14.45
| Professional | | $4.88 | $7.34 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.05 / $3,472.00 / $9,239.00
| Facility | | $30.05 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $15.92
| Professional | | $13.53 | $13.53 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $12.97 / $30.14
| Professional | | $9.36 | $12.97 | $30.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $101.00 / $101.00
| Facility | | $36.29 | $101.00 | $101.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $5.62 / $14.01
| Professional | | $3.74 | $5.62 | $14.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $5.62 / $14.01
| Professional | | $3.93 | $5.62 | $14.01 |