- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.07 / $19.28 / $65.67
| Facility | | $8.07 | $19.28 | $65.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $10.09 / $11.69
| Professional | | $7.23 | $10.09 | $11.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.23 / $7.23
| Professional | | $7.23 | $7.23 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $37.84 / $68.31
| Facility | | $13.26 | $37.84 | $68.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.39 / $11.81
| Professional | | $5.00 | $6.39 | $11.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.85 / $19.28
| Professional | | $8.44 | $10.85 | $19.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $16.87 / $16.87
| Facility | | $16.87 | $16.87 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.77 / $17.62 / $54.36
| Facility | | $7.77 | $17.62 | $54.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $6.82 / $22.81
| Professional | | $4.94 | $6.82 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.69 / $60.00 / $60.00
| Facility | | $23.69 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.03 / $12.05 / $13.26
| Facility | | $9.03 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $12.05 / $12.05
| Professional | | $10.85 | $12.05 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $12.05 / $16.75
| Facility | | $8.40 | $12.05 | $16.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $10.85 / $12.71
| Professional | | $6.20 | $10.85 | $12.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $12.05 / $14.46
| Facility | | $5.05 | $12.05 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $7.23
| Professional | | $5.05 | $5.05 | $7.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $4.82 / $12.05
| Professional | | $4.70 | $4.82 | $12.05 |