- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $9.91 / $17.44
| Facility | | $4.36 | $9.91 | $17.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $5.30 / $7.00
| Professional | | $2.25 | $5.30 | $7.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.23 / $6.23 / $16.20
| Facility | | $6.23 | $6.23 | $16.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.56 / $3.11 / $9.34
| Professional | | $1.56 | $3.11 | $9.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $6.23 / $6.23
| Facility | | $3.74 | $6.23 | $6.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $6.23 / $6.23
| Professional | | $4.55 | $6.23 | $6.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $12.72 / $32.61
| Facility | | $4.36 | $12.72 | $32.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $5.90 / $31.22
| Professional | | $3.51 | $5.90 | $31.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.23 / $13.08 / $332.00
| Facility | | $6.23 | $13.08 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $3.71 / $11.40
| Professional | | $2.49 | $3.71 | $11.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.51 / $0.51 / $0.51
| Facility | | $0.51 | $0.51 | $0.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.51 / $5.11 / $7.49
| Professional | | $0.51 | $5.11 | $7.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.62 / $15.32 / $66.78
| Facility | | $7.62 | $15.32 | $66.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $5.95 / $15.00
| Professional | | $3.55 | $5.95 | $15.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $3.74 / $8.41
| Professional | | $2.56 | $3.74 | $8.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.16 / $7.16 / $19.12
| Facility | | $7.16 | $7.16 | $19.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $5.92 / $14.30
| Professional | | $3.73 | $5.92 | $14.30 |