- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $28.84 / $57.54
| Facility | | $11.48 | $28.84 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $40.74
| Professional | | $5.01 | $7.08 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $21.88 / $46.77
| Facility | | $4.37 | $21.88 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $6.46 / $15.49
| Professional | | $3.72 | $6.46 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $40.74 / $74.13
| Facility | | $13.80 | $40.74 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.75 / $17.78
| Professional | | $3.98 | $5.75 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $16.22 / $31.62
| Facility | | $6.03 | $16.22 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $5.89 / $14.45
| Professional | | $3.55 | $5.89 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $10.23 / $100.00
| Professional | | $9.33 | $10.23 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $9.33 / $20.42
| Professional | | $7.59 | $9.33 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $85.11
| Facility | | $79.43 | $79.43 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $9.33 / $9.33
| Professional | | $4.68 | $9.33 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $9.33 / $24.55
| Facility | | $4.68 | $9.33 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.89 / $18.62
| Professional | | $3.72 | $5.89 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $33.11
| Professional | | $33.11 | $33.11 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $5.13 / $9.33
| Facility | | $3.89 | $5.13 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.62 / $18.20
| Professional | | $4.07 | $5.62 | $18.20 |