- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.17 / $37.00 / $306.77
| Facility | | $7.17 | $37.00 | $306.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $4.99 / $10.00
| Professional | | $4.48 | $4.99 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $3.36 / $5.60
| Professional | | $3.36 | $3.36 | $5.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.94 / $6.16 / $9.91
| Facility | | $4.94 | $6.16 | $9.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $2.72 / $6.04
| Professional | | $2.72 | $2.72 | $6.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.53 / $3.53 / $3.53
| Facility | | $3.53 | $3.53 | $3.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $4.48 / $4.48
| Professional | | $4.48 | $4.48 | $4.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $5.88 / $7.56
| Facility | | $4.20 | $5.88 | $7.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $5.60 / $9.23
| Professional | | $3.64 | $5.60 | $9.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $5.77 / $35.45
| Facility | | $3.64 | $5.77 | $35.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $4.42 / $8.02
| Professional | | $2.81 | $4.42 | $8.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.76 / $24.05 / $156.04
| Facility | | $5.76 | $24.05 | $156.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $3.67 / $10.50
| Professional | | $2.44 | $3.67 | $10.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.62 / $6.72
| Professional | | $4.20 | $4.62 | $6.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.36 / $7.70
| Professional | | $2.35 | $3.36 | $7.70 |