- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $32.15 / $82.76
| Facility | | $14.12 | $32.15 | $82.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $14.12 / $32.15
| Professional | | $8.99 | $14.12 | $32.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.77 / $34.54 / $100.00
| Facility | | $15.77 | $34.54 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $13.52 / $25.04
| Professional | | $7.42 | $13.52 | $25.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $27.26 / $43.92
| Facility | | $10.41 | $27.26 | $43.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $19.30 / $30.19
| Professional | | $10.50 | $19.30 | $30.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $14.49 / $15.93
| Professional | | $10.69 | $14.49 | $15.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.02 / $15.77 / $33.15
| Facility | | $15.02 | $15.77 | $33.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.02 / $22.53 / $41.31
| Facility | | $15.02 | $22.53 | $41.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.52 / $13.52 / $13.52
| Professional | | $13.52 | $13.52 | $13.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.27 / $24.78 / $41.31
| Facility | | $17.27 | $24.78 | $41.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.27 / $15.02 / $40.42
| Professional | | $11.27 | $15.02 | $40.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.02 / $18.02 / $18.02
| Facility | | $15.02 | $18.02 | $18.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $7.45 / $16.82
| Professional | | $6.31 | $7.45 | $16.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $7.78
| Professional | | $6.76 | $6.76 | $7.78 |