- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $21.21 / $38.02
| Facility | | $11.02 | $21.21 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $4.67 / $13.34
| Professional | | $3.84 | $4.67 | $13.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.34 / $13.34 / $34.68
| Facility | | $13.34 | $13.34 | $34.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $5.34 / $17.86
| Professional | | $2.62 | $5.34 | $17.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $13.34 / $13.34
| Facility | | $8.00 | $13.34 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.74 / $13.34 / $13.34
| Professional | | $9.74 | $13.34 | $13.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $26.86 / $55.64
| Facility | | $9.32 | $26.86 | $55.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $11.62 / $64.30
| Professional | | $3.98 | $11.62 | $64.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.50 / $17.34 / $332.00
| Facility | | $4.50 | $17.34 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $7.87 / $24.41
| Professional | | $5.34 | $7.87 | $24.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $6.87 / $13.99
| Professional | | $4.67 | $6.87 | $13.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $145.28
| Facility | | $13.73 | $32.36 | $145.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $10.56 / $20.68
| Professional | | $4.15 | $10.56 | $20.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.00 / $19.59
| Professional | | $3.98 | $6.00 | $19.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.34 / $15.34 / $23.53
| Facility | | $15.34 | $15.34 | $23.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $6.87 / $16.03
| Professional | | $4.67 | $6.87 | $16.03 |