- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $16.36 / $45.42
| Facility | | $6.53 | $16.36 | $45.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.35 / $7.02 / $10.52
| Professional | | $5.35 | $7.02 | $10.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.14 / $27.98 / $46.91
| Facility | | $11.14 | $27.98 | $46.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $5.00 / $7.02
| Professional | | $4.82 | $5.00 | $7.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $8.77 / $8.77
| Facility | | $8.77 | $8.77 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.16 / $19.05 / $46.46
| Facility | | $9.16 | $19.05 | $46.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $5.88 / $17.07
| Professional | | $4.59 | $5.88 | $17.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.26 / $60.00 / $60.00
| Facility | | $15.26 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.98 / $75.98 / $75.98
| Professional | | $75.98 | $75.98 | $75.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.58 / $10.89 / $19.30
| Facility | | $6.58 | $10.89 | $19.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $8.77 / $10.96
| Professional | | $8.25 | $8.77 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $19.70 / $19.70
| Professional | | $10.50 | $19.70 | $19.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.67 / $11.40 / $22.38
| Facility | | $6.67 | $11.40 | $22.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $7.91 / $16.39
| Professional | | $4.59 | $7.91 | $16.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $4.69 / $5.61
| Professional | | $3.68 | $4.69 | $5.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $8.77 / $11.84
| Professional | | $4.05 | $8.77 | $11.84 |