- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.16 / $9.02 / $14.71
| Facility | | $5.16 | $9.02 | $14.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $5.11 / $6.21
| Professional | | $4.38 | $5.11 | $6.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.16 / $5.16 / $13.42
| Facility | | $5.16 | $5.16 | $13.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.29 / $13.87
| Professional | | $2.54 | $3.29 | $13.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.10 / $5.16 / $5.16
| Facility | | $3.10 | $5.16 | $5.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $5.16 / $5.16
| Professional | | $3.77 | $5.16 | $5.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $10.60 / $69.73
| Facility | | $3.60 | $10.60 | $69.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $6.07 / $120.24
| Professional | | $4.50 | $6.07 | $120.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $7.22 / $332.00
| Facility | | $4.00 | $7.22 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $3.10 / $9.44
| Professional | | $2.06 | $3.10 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $6.20 / $9.14
| Professional | | $4.90 | $6.20 | $9.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.19 / $12.77 / $82.28
| Facility | | $6.19 | $12.77 | $82.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $7.23 / $14.07
| Professional | | $4.13 | $7.23 | $14.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.10 / $10.85
| Professional | | $2.17 | $3.10 | $10.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.93 / $5.93 / $28.43
| Facility | | $5.93 | $5.93 | $28.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $6.22 / $9.26
| Professional | | $5.16 | $6.22 | $9.26 |