- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $16.04 / $44.19
| Facility | | $4.55 | $16.04 | $44.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $3.97 / $7.77
| Professional | | $3.73 | $3.97 | $7.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $2.93 / $4.40
| Professional | | $2.20 | $2.93 | $4.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.62 / $8.99 / $100.00
| Facility | | $4.62 | $8.99 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $4.00 / $8.00
| Professional | | $2.18 | $4.00 | $8.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $9.01 / $14.58
| Facility | | $3.06 | $9.01 | $14.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $5.62 / $8.77
| Professional | | $3.10 | $5.62 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.13 / $4.24 / $4.66
| Professional | | $3.13 | $4.24 | $4.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $4.62 / $10.25
| Facility | | $4.40 | $4.62 | $10.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $6.60 / $12.10
| Facility | | $4.40 | $6.60 | $12.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $3.96 / $3.96
| Professional | | $3.96 | $3.96 | $3.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $7.26 / $12.10
| Facility | | $5.05 | $7.26 | $12.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $4.40 / $11.68
| Professional | | $3.30 | $4.40 | $11.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $5.28 / $5.28
| Facility | | $4.40 | $5.28 | $5.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $1.85 / $4.40
| Professional | | $1.85 | $1.85 | $4.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $1.98 / $2.27
| Professional | | $1.98 | $1.98 | $2.27 |