- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.88 / $14.49 / $40.25
| Facility | | $5.88 | $14.49 | $40.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $5.83 / $9.32
| Professional | | $4.34 | $5.83 | $9.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $5.39 / $5.39
| Professional | | $4.66 | $5.39 | $5.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.59 / $25.64 / $46.78
| Facility | | $9.59 | $25.64 | $46.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $5.00 / $6.22
| Professional | | $4.12 | $5.00 | $6.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.77 / $7.77 / $8.94
| Facility | | $7.77 | $7.77 | $8.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $16.97 / $36.35
| Facility | | $5.46 | $16.97 | $36.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $4.08 / $10.31
| Professional | | $4.08 | $4.08 | $10.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.66 / $7.77 / $10.86
| Facility | | $6.66 | $7.77 | $10.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $7.77 / $10.13
| Professional | | $6.99 | $7.77 | $10.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $8.05 / $17.78
| Facility | | $6.76 | $8.05 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $5.98 / $11.14
| Professional | | $4.08 | $5.98 | $11.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $7.77 / $9.32
| Facility | | $4.55 | $7.77 | $9.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $4.45 / $5.21
| Professional | | $3.26 | $4.45 | $5.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $3.84 / $7.77
| Professional | | $3.03 | $3.84 | $7.77 |