- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.25 / $23.31 / $57.56
| Facility | | $8.25 | $23.31 | $57.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $8.44 / $9.71
| Professional | | $7.20 | $8.44 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.71 / $9.71 / $25.25
| Facility | | $9.71 | $9.71 | $25.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.87 / $21.92
| Professional | | $4.63 | $5.87 | $21.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $9.71 / $9.71
| Facility | | $5.83 | $9.71 | $9.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $9.71 / $9.71
| Professional | | $7.09 | $9.71 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.78 / $19.79 / $98.83
| Facility | | $6.78 | $19.79 | $98.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.16 / $10.96 / $60.60
| Professional | | $7.16 | $10.96 | $60.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $14.01 / $332.00
| Facility | | $8.10 | $14.01 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $5.83 / $17.77
| Professional | | $3.88 | $5.83 | $17.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $9.71 / $11.67
| Professional | | $8.25 | $9.71 | $11.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.63 / $14.81 / $45.08
| Facility | | $7.63 | $14.81 | $45.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $23.84 / $129.58
| Facility | | $11.85 | $23.84 | $129.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $10.96 / $20.00
| Professional | | $7.71 | $10.96 | $20.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $5.83 / $15.24
| Professional | | $4.08 | $5.83 | $15.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.17 / $11.17 / $44.72
| Facility | | $11.17 | $11.17 | $44.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.56 / $10.85 / $12.88
| Professional | | $8.56 | $10.85 | $12.88 |