- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.61 / $21.24 / $38.77
| Facility | | $7.61 | $21.24 | $38.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $7.61 / $15.96
| Professional | | $7.20 | $7.61 | $15.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.68 / $18.14 / $108.00
| Facility | | $7.68 | $18.14 | $108.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.16 / $10.39 / $24.79
| Professional | | $4.16 | $10.39 | $24.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $23.75 / $41.53
| Facility | | $14.92 | $23.75 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $10.29
| Professional | | $9.77 | $9.77 | $10.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.26 / $12.69 / $27.30
| Facility | | $7.26 | $12.69 | $27.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.83 / $16.00
| Professional | | $5.78 | $8.83 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.53 / $3,472.00 / $9,239.00
| Facility | | $31.53 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.93 / $14.93 / $17.57
| Professional | | $14.93 | $14.93 | $17.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $14.40 / $33.46
| Professional | | $10.39 | $14.40 | $33.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.14 / $108.00 / $108.00
| Facility | | $18.14 | $108.00 | $108.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $6.23 / $16.86
| Professional | | $2.10 | $6.23 | $16.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $6.23 / $16.86
| Professional | | $3.12 | $6.23 | $16.86 |