- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.61 / $11.63 / $35.28
| Facility | | $4.61 | $11.63 | $35.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.49 / $4.61 / $7.48
| Professional | | $3.49 | $4.61 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.85 / $19.44 / $35.51
| Facility | | $6.85 | $19.44 | $35.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $5.00 / $5.50
| Professional | | $3.43 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.48 / $9.02 / $26.00
| Facility | | $5.48 | $9.02 | $26.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $8.72 / $8.72
| Professional | | $5.92 | $8.72 | $8.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.23 / $6.23 / $6.23
| Facility | | $6.23 | $6.23 | $6.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $10.56 / $26.98
| Facility | | $4.36 | $10.56 | $26.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $5.01 / $9.72
| Professional | | $3.06 | $5.01 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.00 / $70.00 / $70.00
| Facility | | $26.00 | $70.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $6.23 / $7.54
| Facility | | $4.54 | $6.23 | $7.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $6.23 / $6.23
| Professional | | $5.61 | $6.23 | $6.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $6.23 / $14.42
| Facility | | $4.54 | $6.23 | $14.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $5.01 / $7.39
| Professional | | $3.06 | $5.01 | $7.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $3.74 / $6.23
| Professional | | $3.73 | $3.74 | $6.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $2.49 / $6.23
| Professional | | $2.49 | $2.49 | $6.23 |