- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $20.89 / $58.88
| Facility | | $7.94 | $20.89 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.91 / $14.13
| Professional | | $7.08 | $8.91 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $36.31 / $64.57
| Facility | | $15.85 | $36.31 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $15.14 / $15.49
| Professional | | $5.50 | $15.14 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $12.88
| Facility | | $11.22 | $11.22 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $24.55 / $58.88
| Facility | | $10.96 | $24.55 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $19.05
| Professional | | $6.03 | $7.94 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $100.00 / $100.00
| Facility | | $70.79 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $11.75 / $20.89
| Facility | | $8.51 | $11.75 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $10.00 / $14.79
| Professional | | $6.03 | $10.00 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $9.55 / $9.55
| Professional | | $8.51 | $9.55 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $12.30 / $33.11
| Facility | | $8.91 | $12.30 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.32 / $19.05
| Professional | | $6.46 | $8.32 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $7.59 / $11.22
| Facility | | $4.07 | $7.59 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.61 / $9.77
| Professional | | $4.79 | $6.61 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.37 / $11.22
| Professional | | $4.37 | $4.37 | $11.22 |