- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $38.02 / $134.90
| Facility | | $12.30 | $38.02 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $38.90
| Professional | | $3.98 | $6.03 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $13.80 / $29.51
| Facility | | $3.39 | $13.80 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $5.01 / $17.38
| Professional | | $2.88 | $5.01 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $44.67 / $83.18
| Facility | | $13.18 | $44.67 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $6.76 / $16.98
| Professional | | $4.68 | $6.76 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $9.77 / $21.38
| Facility | | $3.89 | $9.77 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $5.89 / $9.77
| Professional | | $3.80 | $5.89 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.89 / $9.33
| Professional | | $5.25 | $5.89 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $5.89 / $13.18
| Professional | | $4.68 | $5.89 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $100.00
| Facility | | $70.79 | $70.79 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $7.08 / $7.08
| Professional | | $3.55 | $7.08 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $7.08 / $18.20
| Facility | | $4.90 | $7.08 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.37 / $13.49
| Professional | | $3.47 | $5.37 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $20.42
| Professional | | $20.42 | $20.42 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $6.03 / $10.00
| Professional | | $4.68 | $6.03 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $4.07 / $5.89
| Facility | | $2.63 | $4.07 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.55 / $11.75
| Professional | | $2.45 | $3.55 | $11.75 |