- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $36.17 / $36.17
| Facility | | $10.19 | $36.17 | $36.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $9.22 / $15.21
| Professional | | $7.30 | $9.22 | $15.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $11.44 / $30.70
| Professional | | $7.51 | $11.44 | $30.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.33 / $28.43 / $43.62
| Facility | | $24.33 | $28.43 | $43.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $20.16 / $31.95
| Professional | | $9.19 | $20.16 | $31.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.25 / $10.10 / $18.60
| Facility | | $8.25 | $10.10 | $18.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.43 / $10.08 / $19.39
| Facility | | $8.43 | $10.08 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $13.22 / $64.92
| Professional | | $8.30 | $13.22 | $64.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $58.40 / $70.00
| Professional | | $10.47 | $58.40 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $9.84 / $18.60
| Facility | | $8.15 | $9.84 | $18.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.06 / $22.14 / $31.90
| Professional | | $15.06 | $22.14 | $31.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $19.57 / $80.00
| Facility | | $10.79 | $19.57 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.96 / $40.36 / $64.92
| Professional | | $9.96 | $40.36 | $64.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $14.98 / $33.02
| Professional | | $10.66 | $14.98 | $33.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.05 / $12.26 / $26.00
| Professional | | $8.05 | $12.26 | $26.00 |