- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $29.51 / $117.49
| Facility | | $7.08 | $29.51 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $10.23
| Professional | | $5.01 | $7.08 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $29.51 / $51.29
| Facility | | $11.22 | $29.51 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.13 / $12.59
| Professional | | $5.01 | $5.13 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $14.13 / $45.71
| Facility | | $8.71 | $14.13 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $9.33 / $9.33
| Facility | | $7.59 | $9.33 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $16.98 / $42.66
| Facility | | $7.41 | $16.98 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.79 / $14.45
| Professional | | $4.27 | $4.79 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $100.00
| Facility | | $70.79 | $70.79 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $9.33 / $44.67
| Facility | | $6.76 | $9.33 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.94 / $10.00
| Professional | | $5.01 | $7.94 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.94 / $7.94
| Professional | | $7.08 | $7.94 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $9.33 / $26.92
| Facility | | $6.76 | $9.33 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.90 / $13.80
| Professional | | $4.27 | $4.90 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $4.57 / $9.33
| Facility | | $3.39 | $4.57 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.89 / $7.41
| Professional | | $3.80 | $3.89 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $3.63 / $9.33
| Professional | | $3.63 | $3.63 | $9.33 |