- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.02 / $89.13
| Professional | | $7.08 | $12.02 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $1.51 / $1.51
| Facility | | $1.51 | $1.51 | $1.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $17.38 / $48.98
| Professional | | $8.71 | $17.38 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $27.54 / $43.65
| Facility | | $27.54 | $27.54 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $18.20 / $87.10
| Professional | | $12.59 | $18.20 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $14.45 / $18.20
| Facility | | $13.49 | $14.45 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $14.45 / $26.30
| Professional | | $12.30 | $14.45 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $21.88
| Professional | | $18.20 | $18.20 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $16.60 / $28.18
| Professional | | $14.13 | $16.60 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $109.65 / $109.65
| Facility | | $100.00 | $109.65 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $15.14 / $23.44
| Facility | | $7.41 | $15.14 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $16.22
| Professional | | $12.30 | $12.30 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $43.65 / $43.65
| Professional | | $43.65 | $43.65 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $19.05
| Professional | | $18.20 | $18.20 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.76 / $6.92 / $15.14
| Facility | | $0.76 | $6.92 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $11.48 / $23.44
| Professional | | $8.71 | $11.48 | $23.44 |