- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $6.52 / $19.96
| Facility | | $3.26 | $6.52 | $19.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $3.36 / $320.00
| Professional | | $3.26 | $3.36 | $320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $5.21 / $11.67
| Facility | | $3.39 | $5.21 | $11.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $3.26 / $7.38
| Professional | | $3.12 | $3.26 | $7.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $3.88 / $7.22
| Facility | | $3.47 | $3.88 | $7.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $3.49 / $8.30
| Professional | | $3.32 | $3.49 | $8.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $3.08 / $3.26
| Facility | | $3.08 | $3.08 | $3.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $3.26 / $4.00
| Professional | | $3.26 | $3.26 | $4.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.14 / $4.05
| Professional | | $3.00 | $3.14 | $4.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $3.91 / $7.17
| Professional | | $2.93 | $3.91 | $7.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $85.00 / $85.00
| Facility | | $75.00 | $85.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $13.24 / $13.24
| Professional | | $13.24 | $13.24 | $13.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $6.15 / $6.15
| Professional | | $6.15 | $6.15 | $6.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.26 / $3.39 / $5.51
| Facility | | $3.26 | $3.39 | $5.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $3.26 / $4.00
| Professional | | $3.26 | $3.26 | $4.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $4.97 / $4.97
| Professional | | $4.97 | $4.97 | $4.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.12 / $4.68
| Professional | | $2.61 | $3.12 | $4.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $3.26 / $5.82
| Professional | | $3.26 | $3.26 | $5.82 |