- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $20.00 / $54.06
| Facility | | $9.30 | $20.00 | $54.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $10.57 / $21.14
| Professional | | $4.32 | $10.57 | $21.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.12 / $12.12 / $31.51
| Facility | | $12.12 | $12.12 | $31.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $5.99 / $19.14
| Professional | | $3.21 | $5.99 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.27 / $12.12 / $12.12
| Facility | | $7.27 | $12.12 | $12.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $12.12 / $12.12
| Professional | | $8.85 | $12.12 | $12.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.47 / $25.61 / $62.53
| Facility | | $8.47 | $25.61 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $13.52 / $78.94
| Professional | | $9.11 | $13.52 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $15.76 / $332.00
| Facility | | $6.50 | $15.76 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.27 / $22.18
| Professional | | $5.54 | $7.27 | $22.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $10.91 / $14.57
| Professional | | $8.11 | $10.91 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $164.96
| Facility | | $13.73 | $29.81 | $164.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $10.51 / $24.97
| Professional | | $5.48 | $10.51 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $5.76 / $17.80
| Professional | | $4.76 | $5.76 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.94 / $13.94 / $35.95
| Facility | | $13.94 | $13.94 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $11.64 / $35.95
| Professional | | $8.82 | $11.64 | $35.95 |