- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $15.43 / $26.65
| Facility | | $7.95 | $15.43 | $26.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.29 / $9.73
| Professional | | $5.09 | $7.29 | $9.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $9.35 / $24.31
| Facility | | $9.35 | $9.35 | $24.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $4.84 / $16.34
| Professional | | $3.35 | $4.84 | $16.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.61 / $9.35 / $9.35
| Facility | | $5.61 | $9.35 | $9.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.35 / $9.35
| Professional | | $6.83 | $9.35 | $9.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $19.07 / $73.79
| Facility | | $6.53 | $19.07 | $73.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $9.50 / $57.11
| Professional | | $5.28 | $9.50 | $57.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.10 / $14.56 / $332.00
| Facility | | $9.10 | $14.56 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.61 / $17.11
| Professional | | $4.26 | $5.61 | $17.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.08 / $9.08 / $9.08
| Facility | | $9.08 | $9.08 | $9.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $9.08 / $11.24
| Professional | | $6.39 | $9.08 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $22.98 / $102.16
| Facility | | $11.43 | $22.98 | $102.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $10.74 / $30.00
| Professional | | $5.53 | $10.74 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $5.61 / $14.47
| Professional | | $3.93 | $5.61 | $14.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $10.75 / $30.53
| Facility | | $10.75 | $10.75 | $30.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.21 / $8.88 / $11.60
| Professional | | $6.21 | $8.88 | $11.60 |